WorldWideScience

Sample records for compulsory service programmes

  1. 16 CFR 1118.3 - Compulsory processes and service.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Compulsory processes and service. 1118.3... Investigations, Inspections, and Inquiries § 1118.3 Compulsory processes and service. (a) In addition to or in...) Depositions; and (4) General or special orders. (b) Service in connection with any of the compulsory processes...

  2. 16 CFR 1605.3 - Compulsory processes and the service thereof.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Compulsory processes and the service thereof... Investigations, Inspections and Inquiries § 1605.3 Compulsory processes and the service thereof. (a) In addition... inquired of. (c) The date of service of any form of compulsory process shall be the date on which the...

  3. Does mental health service integration affect compulsory admissions?

    Directory of Open Access Journals (Sweden)

    André I. Wierdsma

    2009-09-01

    Full Text Available Background: Over recent years, the number of compulsory admissions in many countries has increased, probably as a result of the shift from inpatient to outpatient mental health care. This might be mitigated by formal or collaborative relationships between services. Methods: In a retrospective record linkage study, we compared two neighboring districts, varying in level of service integration. Two periods were combined: 1991–1993 and 2001–2003. We included patients aged 18–60, who had a first emergency compulsory admission (n=830. Their psychiatric history was assessed, and service-use after admission was monitored over a 12-month follow-up. Results: Over a 10-year period, compulsory admission rates increased by 47%. Difference in relative increase between the integrated and non-integrated services was 14%. Patient characteristics showed different profiles in the two districts. Length of stay was >10 days shorter in the integrated district, where the proportion of involuntary readmissions decreased more, and where aftercare was swift and provided to about 10% more patients than in the non-integrated district. Conclusions: Services outcomes showed better results where mental healthcare was more integrated. However, limited effects were found and other factors than integration of services may be more important in preventing compulsory admissions.

  4. Managing "Spoiled Identities": Parents' Experiences of Compulsory Parenting Support Programmes

    Science.gov (United States)

    Holt, Amanda

    2010-01-01

    While recent years have seen a rapid growth of research exploring the usefulness of parenting support programmes, no empirical research to date has specifically explored experiences of compulsory parenting support. The present study examines the narrative accounts of 17 parents who, through a Parenting Order, were made to participate in such…

  5. Second Chance Programmes: A Response to Educational Needs in Compulsory Education

    Science.gov (United States)

    Asin, Antonio Sanchez; Peinado, Jose Luis Boix

    2008-01-01

    This paper asks whether the integrated training provision currently offered through the different Spanish Second Chance Programmes (SCPs) constitutes a valid response to the educational needs and deficits known to exist among those young people who do not satisfactorily complete the Compulsory Secondary Education stage (ESO). The objectives of the…

  6. 49 CFR 510.3 - Compulsory process, the service thereof, claims for confidential treatment, and terms of compliance.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Compulsory process, the service thereof, claims... OF TRANSPORTATION INFORMATION GATHERING POWERS § 510.3 Compulsory process, the service thereof... description of the documents or things to be produced. (c) Service of the compulsory processes specified in...

  7. ASSESSMENT OF EFFECTIVENESS OF TB POSTING DURING THE COMPULSORY ROTATORY RESIDENTIAL INTERNSHIP (CRRI PROGRAMME

    Directory of Open Access Journals (Sweden)

    Pradeep Aggarwal

    2011-12-01

    Full Text Available Research Question: What is the effectiveness of TB posting during the Compulsory Rotatory Residential Internship (CRRI programme? Objectives: To assess the effectiveness of TB posting during the CRRI programme. To find out the need of making Tuberculosis & Respiratory Diseases Department posting mandatory during CRRI Programme. Study Design: Cross Sectional study. Study Duration: 12 months i.e. 01st April 2009 till 31st March 2010 Participants: 90 students who joined the CRRI programme formed the study group. Out of these 90 interns only 57 (64% of them joined their two months Compulsory Rotatory Internship in the Department of Community Medicine and these were posted in Tuberculosis & Respiratory Diseases Department for 15 days. Methodology: A pre-designed pre-tested self-administered questionnaire was administered to the participants on the first day and last day of their posting in Tuberculosis & Respiratory Diseases Department. The results were analysed by using suitable statistical package. Results: The mean pre-test score was 28 (49.6% and the mean post-test score was 38 (61.5%. It was observed that there was a 27% improvement in the knowledge of the participants when the question about the year of launching of RNTCP programme in India was asked. A remarkable improvement (46% was found in the difference between pre and post-test knowledge of the participants when the questions like “Who are the DOTS providers” and “What is the colour coding of boxes for different categories of patients” were asked. A significant difference in the knowledge was found in the pre and post-test assessment in reference to Tuberculosis and its National Programm

  8. Attitudes of South African oral hygienists towards compulsory community service.

    Science.gov (United States)

    Bhayat, A; Yengopal, V; Rudolph, M J; Naidoo, U; Vayej, A

    2008-02-01

    Compulsory Community Service (CCS) was introduced into the health service by the government to address the shortage and maldistribution of health professionals within the public sector. The aim of this study was to assess the perceptions of oral hygiene (OH) students, registered in 2004 at the five dental universities regarding the introduction of a 1-year-long CCS. To determine: (a) the students' socio-demographic profile and (b) their attitudes towards CCS. A self-administered questionnaire was hand delivered to all OH students who were registered during 2004 at the respective dental universities. The study yielded a response rate of 70% (109) with the average age of participants being 21.4 years. Most students were female (94%) and more than half were White (52%). More than half (53%) did not want to perform CCS even though 75% acknowledged its' importance. The most common concern for not supporting CCS was security (89%). Ninety per cent (90%) indicated that their preferred tasks would be to engage in clinical work and oral health promotion. Although the majority of participants supported the principles of CCS, a significant number were against the introduction citing security as their main concern. Most of the students preferred to perform clinical work and preventive programmes during their CCS.

  9. POST GRADUATE PROGRAMME IN DIETETICS &FOOD SERVICE MANAGEMENT (MSCDFSM PROGRAMME of IGNOU: Access through the Lucknow Regional Centre

    Directory of Open Access Journals (Sweden)

    J. S. DOROTHY

    2014-10-01

    Full Text Available Indira Gandhi National Open University (IGNOU which was established initially as a Single mode Distance Teaching Institution (DTI in the year 1985 opened its campus to face-to-face education in the year 2008 and thus now is a Dual mode Distance Teaching Institution (DTI. The Post Graduate Programme (Master of Science in Dietetics and Food Service Management (MScDFSM Programme of IGNOU offered through the Distance Learning Mode from the year 2005 has been the boon in developing human resources involved in Nutrition and Dietetics services and also serves as a mode for continuing education among the professionals on-the-job. Accessibility to the programme is independent of the qualification earned at the Bachelor’s level as at IGNOU flexibility of the qualification is ensured for fulfilling the eligibility criteria into the MScDFSM Programme so that the diverse needs of the aspirants are accommodated at entry level itself. The Programme is unique in that it has compulsory Dissertation and Internship besides the Theory and Practical Courses. The Self-Study is enriched by the Teacher inbuilt Self-instructional Study Materials coupled with compulsory submission of the Tutor Marked Assignments (TMA which phase learning and initiate the didactic communication between the Academic Counsellor (who facilitate the Academic Transactions at the field level functionary - the Learner Support Centre and the Learner. The MSc DFSM Programme of IGNOU, as the distance learning programme offered by the School of Continuing Education (SOCE of IGNOU in the Indian Sub-Continent only. This paper discusses how the MScDFSM Programme of IGNOU is contributing to the staff development of in-service Nutritionists and Dietitians through the distance education/learning mode in Lucknow (Uttar Pradesh, North India Regional Centre. This paper also highlights the Institutions, which served as the Learner Support Centres from the year 2005 (when the programme was launched till 2011

  10. Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions

    Directory of Open Access Journals (Sweden)

    Bärnighausen Till

    2009-06-01

    retention; support (programmes should prepare participants for the time in an underserved area, stay in close contact with participants throughout the different phases of enrolment and help participants by assigning them mentors, establishing peer support systems or financing education courses relevant to work in underserved areas; enforcement (programmes may use community-based monitoring or outsource enforcement to existing institutions; and evaluation (in order to broaden the evidence on the effectiveness of financial incentives in increasing the health workforce in underserved areas, programmes in developing countries should evaluate their performance; in order to improve the strength of the evidence on the effectiveness of financial incentives, controlled experiments should be conducted where feasible. In comparison to other interventions to increase the supply of health workers to medically underserved areas, financial-incentive programmes have advantages – unlike initiatives using non-financial incentives, they establish legally enforceable commitments to work in underserved areas and, unlike compulsory service policies, they will not be opposed by health workers – as well as disadvantages – unlike initiatives using non-financial incentives, they may not improve the working and living conditions in underserved areas (which are important determinants of health workers' long-term retention and, unlike compulsory service policies, they cannot guarantee that they will supply health workers to underserved areas who would not have worked in such areas without financial incentives. Financial incentives, non-financial incentives, and compulsory service are not mutually exclusive and may positively affect each other's performance.

  11. Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions.

    Science.gov (United States)

    Bärnighausen, Till; Bloom, David E

    2009-06-26

    should prepare participants for the time in an underserved area, stay in close contact with participants throughout the different phases of enrolment and help participants by assigning them mentors, establishing peer support systems or financing education courses relevant to work in underserved areas); enforcement (programmes may use community-based monitoring or outsource enforcement to existing institutions); and evaluation (in order to broaden the evidence on the effectiveness of financial incentives in increasing the health workforce in underserved areas, programmes in developing countries should evaluate their performance; in order to improve the strength of the evidence on the effectiveness of financial incentives, controlled experiments should be conducted where feasible). In comparison to other interventions to increase the supply of health workers to medically underserved areas, financial-incentive programmes have advantages--unlike initiatives using non-financial incentives, they establish legally enforceable commitments to work in underserved areas and, unlike compulsory service policies, they will not be opposed by health workers--as well as disadvantages--unlike initiatives using non-financial incentives, they may not improve the working and living conditions in underserved areas (which are important determinants of health workers' long-term retention) and, unlike compulsory service policies, they cannot guarantee that they will supply health workers to underserved areas who would not have worked in such areas without financial incentives. Financial incentives, non-financial incentives, and compulsory service are not mutually exclusive and may positively affect each other's performance.

  12. Perceptions of newly-qualified nurses performing compulsory community service in KwaZulu-Natal.

    Science.gov (United States)

    Govender, Selverani; Brysiewicz, Petra; Bhengu, Busisiwe

    2015-07-08

    Compulsory community service (CCS) for nurses commenced in South African January 2008 after it was legislated in the new Nursing Act (Act No. 33 of 2005). Nurses completing their registered nurse programme are registered as community nurse practitioners (CNPs) during the CCS period and make up the largest number of health professionals serving CCS. Whilst health institutions have welcomed CNPs as additional resources for the shortage of nursing staff, no structured guidelines have been provided at a regional level as to how these nurses should be utilised or managed during the CCS year. To date, no large-scale study has been conducted on nurses carrying out CCS in order to generalise the findings. To establish the perceptions of newly-qualified nurses carrying out CCS in KwaZulu-Natal, South Africa. A quantitative survey design was used to obtain data from a randomly selected sample of the 2012 cohort of nurses carrying out CCS in KwaZulu-Natal. CNPs have a positive attitude toward CCS and perceive themselves as being well prepared for the year of community service in terms of knowledge, skills and ability to administer nursing care. They identified positive benefits of the year of community service.The concerns raised were limited orientation and support; and a few CNPs experienced problems of acceptance by the nurses with whom they work. It is recommended that all health institutions who receive CNPs develop structured orientation and support for these nurses in order to promote their development, thereby enhancing their benefit to the communities they serve.

  13. 47 CFR 80.59 - Compulsory ship inspections.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Compulsory ship inspections. 80.59 Section 80... STATIONS IN THE MARITIME SERVICES Applications and Licenses § 80.59 Compulsory ship inspections. (a) Inspection of ships subject to the Communications Act or the Safety Convention. (1) The FCC will not normally...

  14. Conscription in the Afghan Army. Compulsory Service Versus an All Volunteer Force

    Science.gov (United States)

    2011-04-01

    580 in 2004) to avoid compulsory service. Dual citizens and only sons or breadwinners are exempted. There appears to be substantial corruption in...their Soviet advisors. There were many reports of conscripts showing up for training just long enough to be issued So- viet-made weapons and...create a national ID card program and a census, as well as other initiatives to collect information on the popula- tion - but these programs are just

  15. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring.

    Science.gov (United States)

    Lay, Barbara; Salize, Hans Joachim; Dressing, Harald; Rüsch, Nicolas; Schönenberger, Thekla; Bühlmann, Monika; Bleiker, Marco; Lengler, Silke; Korinth, Lena; Rössler, Wulf

    2012-09-05

    ). 200 patients each will be assigned to the intervention group or to the control group. Detailed follow-up assessments of service use, psychopathology and patient perceptions are scheduled 12 and 24 months after discharge. Innovative interventions have to be established to prevent patients with mental disorders from undergoing the experience of compulsory admission and, with regard to society as a whole, to reduce the costs of health care (and detention). The current study will allow for a prospective analysis of the effectiveness of an intervention programme, providing insight into processes and factors that determine involuntary placement.

  16. Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring

    Directory of Open Access Journals (Sweden)

    Lay Barbara

    2012-09-01

    compared with standard care procedures (control group. 200 patients each will be assigned to the intervention group or to the control group. Detailed follow-up assessments of service use, psychopathology and patient perceptions are scheduled 12 and 24 months after discharge. Discussion Innovative interventions have to be established to prevent patients with mental disorders from undergoing the experience of compulsory admission and, with regard to society as a whole, to reduce the costs of health care (and detention. The current study will allow for a prospective analysis of the effectiveness of an intervention programme, providing insight into processes and factors that determine involuntary placement. Trial registration Current Controlled Trials ISRCTN63162737.

  17. Effective Teacher? Student Self-Evaluation of Development and Progress on a Teacher Education Programme

    Science.gov (United States)

    Gossman, Peter; Horder, Sue

    2016-01-01

    This article examines 28 teachers' views about their teacher education requirements. The participants were enrolled on a one-year full-time pre-service teacher education programme with a focus on post-compulsory education and training. The study examines how student teachers' self-evaluations against aspects of teaching professional practice…

  18. Women's stress in compulsory army service in Israel: A gendered perspective.

    Science.gov (United States)

    Huss, Ephrat; Cwikel, Julie

    2015-01-01

    A growing number of women are serving in the military in a variety of roles, yet information on their experience of stressors not associated with either combat or sexual harassment is not commonly reported. To present phenomenological data on stressors experienced in military service, together with the use of coping strategies as a way to focus on women's mental needs following deployment from service. Twenty women who had recently completed their compulsory army service in Israel drew a picture expressing stressors they experienced in the army. They analyzed their own pictures on three levels: the content, context, and the composition as expressing stress and the resources they used in coping with stress. Six themes were raised: proximity to war situations, coping with accidents in training soldiers under their command, a conflict between political values and military orders, witnessing the injury of another female soldier, responsibility for accidental injury of a civilian, and distress over the army placement. Coping resources were relational, primarily family and friend support, rather than from the army framework. This reliance on relational sources of support was both a resource and a source of vulnerability and is viewed as distinct from men's style of coping.

  19. Efficacy of a compulsory homework programme for increasing physical activity and healthy eating in children: the healthy homework pilot study

    Directory of Open Access Journals (Sweden)

    Duncan Scott

    2011-11-01

    Full Text Available Abstract Background Most physical activity and nutrition interventions in children focus on the school setting; however, evidence suggests that children are less active and have greater access to unhealthy food at home. The aim of this pilot study was to examine the efficacy of a compulsory homework programme for increasing physical activity and healthy eating in children. Methods The six-week 'Healthy Homework' programme and complementary teaching resource was developed under the guidance of an intersectoral steering group. Eight senior classes (year levels 5-6 from two diverse Auckland primary schools were randomly assigned into intervention and control groups. A total of 97 children (57 intervention, 40 control aged 9-11 years participated in the evaluation of the intervention. Daily step counts were monitored immediately before and after the intervention using sealed multiday memory pedometers. Screen time, sports participation, active transport to and from school, and the consumption of fruits, vegetables, unhealthy foods and drinks were recorded concurrently in a 4-day food and activity diary. Results Healthy Homework resulted in a significant intervention effect of 2,830 steps.day-1 (95% CI: 560, 5,300, P = 0.013. This effect was consistent between sexes, schools, and day types (weekdays and weekend days. In addition, significant intervention effects were observed for vegetable consumption (0.83 servings.day-1, 95% CI: 0.24, 1.43, P = 0.007 and unhealthy food consumption (-0.56 servings.day-1, 95% CI: -1.05, -0.07, P = 0.027 on weekends but not weekdays, with no interactions with sex or school. Effects for all other variables were not statistically significant regardless of day type. Conclusions Compulsory health-related homework appears to be an effective approach for increasing physical activity and improving vegetable and unhealthy food consumption in children. Further research in a larger study is required to confirm these initial

  20. The case against libertarian arguments for compulsory vaccination.

    Science.gov (United States)

    Bernstein, Justin

    2017-11-01

    In a recent paper in this journal, Jason Brennan correctly notes that libertarians struggle to justify a policy of compulsory vaccination. The most straightforward argument that justifies compulsory vaccination is that such a policy promotes welfare. But libertarians cannot make this argument because they claim that the state is justified only in protecting negative rights, not in promoting welfare. I consider two representative libertarian attempts to justify compulsory vaccination, and I argue that such arguments are unsuccessful. They either fail to show that the state is justified in implementing the policy or overgeneralise. I suggest that Brennan's solution is especially well motivated insofar as it addresses the shortcomings of these arguments. Brennan argues that we violate the rights of others by participating in an activity that imposes an unacceptable collective risk of harm. Going unvaccinated is an activity that imposes an unacceptable collective risk of harm, and thus amounts to a rights violation. So, the state can implement a policy of compulsory vaccination I object, however, that Brennan's delineation of acceptable and unacceptable risk implicitly rests on classical liberal rather than libertarian principles; he justifies compulsory vaccination on the grounds that it promotes welfare. I also object that Brennan's argument would entail significant departures from libertarian institutional arrangements. This leaves libertarians with a choice: they can develop new arguments to demonstrate that their position is compatible with compulsory vaccination, or they can accept that their view entails the impermissibility of compulsory vaccination, and argue that this is not an unpalatable implication of their view. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  1. 78 FR 78309 - Mechanical and Digital Phonorecord Delivery Compulsory License

    Science.gov (United States)

    2013-12-26

    ... time since the issuance of the NPRM, marketplace developments and changes in business models may be... and Digital Phonorecord Delivery Compulsory License AGENCY: U.S. Copyright Office, Library of Congress... locker services and purchased content locker services. Mechanical and Digital Phonorecord Delivery...

  2. 5 CFR 297.402 - Disclosure pursuant to a compulsory legal process served on the Office.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Disclosure pursuant to a compulsory legal process served on the Office. 297.402 Section 297.402 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PRIVACY PROCEDURES FOR PERSONNEL RECORDS Disclosure of Records § 297.402 Disclosure pursuant to a compulsory...

  3. Service user involvement in preregistration child nursing programmes.

    Science.gov (United States)

    Barnley, Rebecca

    2017-12-05

    Service user involvement is a fundamental part of preregistration nursing education programmes, however achieving this for child nursing students is challenging. Service user involvement can be achieved through online forums but this method can lack the emotional interaction and opportunity for deep reflection. This article reviews the background and challenges of service user involvement in preregistration child nursing programmes, further exploring the evaluation of a group of final year child nursing students' experience of appreciating the journey of two service users. The input from service users provided the opportunity for reflection, empathy and improved student self-awareness in nursing practice. Students gained perspective of the holistic needs of the service user, which empowered them to have confidence in their communication skills to ensure the voice of the child is heard and their rights are upheld. This article concludes that service user involvement is crucial in preregistration nursing programmes for the development of child nursing students, not only affecting their training but also the future workforce. ©2017 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

  4. Embracing the complexity of educational programmes

    Directory of Open Access Journals (Sweden)

    Elly Govers

    2016-12-01

    Full Text Available Systems of monitoring and control have left many educators and organisations in the field of post-compulsory education struggling to find ways to meet the needs of an increasingly diverse society. Education is complex. Many educators would agree that it is influenced by many, often contradictory, voices and power structures. Based on the findings of a case study involving multiple programmes in a post-compulsory education institution in Aotearoa/New Zealand, this paper aims to unravel this complexity for the case of educational programmes. It describes how programmes can be seen as complex systems, created by people and directed by discourses in society, some of which are more influential than others. If programmes are seen as complex systems, the experience of struggle as referred to above can be understood as a consequence of the attempt to control the complexity rather than work with it. This control limits the possibilities for development and innovation. Alternatively, as this paper will explain, acknowledging and embracing the complexity of programmes helps open up spaces for innovation that would otherwise remain hidden. It is argued that the ultimate space for change is educators’ personal and collective responsibility for the discourses in society they choose to follow.

  5. Caregiving in first-episode psychosis: social characteristics associated with perceived 'burden' and associations with compulsory treatment.

    Science.gov (United States)

    Boydell, Jane; Onwumere, Juliana; Dutta, Rina; Bhavsar, Vishal; Hill, Nathan; Morgan, Craig; Dazzan, Paola; Morgan, Kevin; Pararajan, Madonna; Kuipers, Elizabeth; Jones, Peter; Murray, Robin; Fearon, Paul

    2014-05-01

    High incidence of psychosis and compulsory treatment within black and minority ethnic (BME) groups in the UK remain a concern. Psychosis has an impact on families and family involvement is important in predicting compulsory treatment. We therefore aimed to report the levels and predictors of caregiver burden in first-episode psychosis, in white British, and BME groups of carers, and investigate their relevance to compulsory treatment. A total of 124 caregivers were interviewed soon after the onset of psychosis using the General Health Questionnaire, GHQ-28, the Experience of Caregiving Inventory, the Personal and Psychiatric History Schedule, and the MRC Sociodemographic Schedule. The overall level of distress as measured by GHQ-28 was high (mean 50, SD 11.4). Feelings of carer burden were also high (mean total negative score 72.5, SD 34.8), increased in men, and with carer age. Neither ethnicity nor social class nor social support was associated with distress or burden. Compulsory treatment was predicted by carer burden (as indicated by carer reports of 'problems with services' (OR 1.08; 95% CI 1.01, 1.15; P = 0.023)); this was particularly evident in the black Caribbean group of carers (OR 1.28; 95% CI 1.04, 1.57; P = 0.02) CONCLUSION: Carers of adults with first-episode psychosis experience considerable psychological distress and feelings of burden. There was a specific association between carer burden, specifically in terms of experience of services, and compulsory admission of service users, particularly in the black Caribbean group. Better ways of liaising with carers and targeted efforts to reduce carer burden at illness onset are needed. © 2013 Wiley Publishing Asia Pty Ltd.

  6. Contracts for Cooperation between Web Service Programmers and HTML Designers

    DEFF Research Database (Denmark)

    Böttger, Henning; Møller, Anders; Schwartzbach, Michael I.

    2006-01-01

    Interactive Web services consist of a mixture of HTML fragments and program code. The fragments, which are maintained by designers, are combined to form HTML pages that are shown to the clients. The code, which is maintained by programmers, is executed on the server to handle the business logic....... Current Web service frameworks provide little help in separating these constituents, which complicates cooperation between programmers and HTML designers. We propose a system based on XML templates and formalized contracts allowing a flexible separation of concerns. The contracts act as interfaces between...... the programmers and the HTML designers and permit tool support for statically checking that both parties fulfill their obligations. This ensures that (1) programmers and HTML designers work more independently focusing on their own expertises, (2) the Web service implementation is better structured and thus easier...

  7. Compulsory Schooling Laws and Migration Across European Countries.

    Science.gov (United States)

    Aparicio Fenoll, Ainhoa; Kuehn, Zoë

    2017-12-01

    Educational attainment is a key factor for understanding why some individuals migrate and others do not. Compulsory schooling laws, which determine an individual's minimum level of education, can potentially affect migration. We test whether and how increasing the length of compulsory schooling influences migration of affected cohorts across European countries, a context where labor mobility is essentially free. We construct a novel database that includes information for 31 European countries on compulsory education reforms passed between 1950 and 1990. Combining this data with information on recent migration flows by cohorts, we find that an additional year of compulsory education reduces the number of individuals from affected cohorts who migrate in a given year by 9 %. Our results rely on the exogeneity of compulsory schooling laws. A variety of empirical tests indicate that European legislators did not pass compulsory education reforms as a reaction to changes in emigration rates or educational attainment.

  8. Developing a Services Science Graduation Programme at the University of Twente

    NARCIS (Netherlands)

    Sorathia, V.S.; Ferreira Pires, Luis; Pires, L.F.; van Sinderen, Marten J.; Wijnhoven, Alphonsus B.J.M.

    2010-01-01

    The recent growth in the services sector implies that more people must be trained in this area. This inspired us to develop a Services Science Graduation Programme at the University of Twente, the Netherlands. We propose a study programme of five years, consisting of a Master phase of two years and

  9. A preliminary assessment of a new arts education programme in Dutch secundary schools

    NARCIS (Netherlands)

    Haanstra, F.; Nagel, I.; Ganzeboom, H.B.G.

    2002-01-01

    In The Netherlands anew compulsory programme, Arts and Cultural Education, has been implemented since 1998 in orderto stimulate the cultural interest and the cultural activities of young people. Attending cultural activities is at the core of this programme and these activities should be of

  10. Service impact of a national clinical leadership development programme: findings from a qualitative study.

    Science.gov (United States)

    Fealy, Gerard M; McNamara, Martin S; Casey, Mary; O'Connor, Tom; Patton, Declan; Doyle, Louise; Quinlan, Christina

    2015-04-01

    The study reported here was part of a larger study, which evaluated a national clinical leadership development programme with reference to resources, participant experiences, participant outcomes and service impact. The aim of the present study was to evaluate the programme's service impact. Clinical leadership development develops competencies that are expressed in context. The outcomes of clinical leadership development occur at individual, departmental and organisational levels. The methods used to evaluate the service impact were focus groups, group interviews and individual interviews. Seventy participants provided data in 18 separate qualitative data collection events. The data contained numerous accounts of service development activities, initiated by programme participants, which improved service and/or improved the culture of the work setting. Clinical leadership development programmes that incorporate a deliberate service impact element can result in identifiable positive service outcomes. The nuanced relationship between leader development and service development warrants further investigation. This study demonstrates that clinical leadership development can impact on service in distinct and identifiable ways. Clinical leadership development programmes should focus on the setting in which the leadership competencies will be demonstrated. © 2013 John Wiley & Sons Ltd.

  11. Critical Service-Learning: Promoting Values Orientation and Enterprise Skills in Pre-Service Teacher Programmes

    Science.gov (United States)

    Iyer, Radha; Carrington, Suzanne; Mercer, Louise; Selva, Gitta

    2018-01-01

    Experiential learning pathways within education programmes such as Service-learning are a means to enrich the learning of pre-service teachers. As a pathway, Service-learning provides value-oriented learning focused on inclusion, diversity, and difference. This paper adopts critical social theory to examine how, along with these values, critical…

  12. Computer Programme Library at Ispra: Service to IAEA Member States

    International Nuclear Information System (INIS)

    1974-01-01

    In 1964, in view of the increasingly important role of computers in atomic energy, the Nuclear Energy Agency of the Organization for Economic Co-operation and Development established a Computer Programme Library (CPL) at Ispra, Italy. The original purpose of this Library, then consisting chiefly of programmes for reactor calculations, was to improve communication between the originators of the computer programmes and the scientists and engineers in Member States of the OECD who used them, thus furthering the efficient and economic use of the many large and expensive computers in the countries concerned. During the first few years of the Library's operation, a growing interest in its activities became evident in countries which were not members of the OECD. The Director General of the International Atomic Energy Agency, aware that such countries which were Member States of the IAEA could benefit from the Library's services, concluded an agreement with the Nuclear Energy Agency in 1967 to the effect that these services would be extended to all IAEA Member States. In March 1968, the Director General announced by circular letter that these services were available, and requested the governments of Member States that were not members of OECD to nominate establishments to participate in the activities of the Computer Programme Library. By August 1973, 32 such establishments were regularly using the services of the CPL

  13. impact of quality improvement in primary schools (quips) programme ...

    African Journals Online (AJOL)

    Elizabeth

    teachers in the school as well as the assistance that the programme has given to ... Edo Journal of Counselling. Vol. 2, No .... and compulsory at least at the elementary level. ... in order to get the opinions of the members of the Parent Teachers.

  14. Does "Compulsory Volunteering" Affect Subsequent Behavior? Evidence from a Natural Experiment in Canada

    Science.gov (United States)

    Yang, Wei

    2017-01-01

    This paper estimates the impact of "compulsory volunteerism" for adolescents on subsequent volunteer behavior exploiting the introduction of a mandatory community service program for high school (HS) students in Ontario, Canada. We use difference-in-differences approach with a large longitudinal dataset. Our estimates show that the…

  15. Compulsory Treatment in Anorexia Nervosa : A Review

    NARCIS (Netherlands)

    Elzakkers, Isis F. F. M.; Danner, Unna N.; Hoek, Hans W.; Schmidt, Ulrike; van Elburg, Annemarie A.

    2014-01-01

    ObjectiveCompulsory in-patient refeeding of patients with severe anorexia nervosa (AN) has caused considerable controversy. The effects of such treatment on longer-term outcome are not well known. The objective of this article is to review the evidence on the outcome of compulsory treatment for AN.

  16. Visa refusal following compulsory hospital admission under the Mental Health Act 1983 (England and Wales): fact or fiction?

    Science.gov (United States)

    Ashmore, R

    2015-08-01

    Historically, compulsory hospital admission led to discrimination for service users. For example, until recently detention under the Mental Health Act 1983 (England and Wales) would disqualify a person from being a Member of Parliament. There is a belief among mental health professionals that compulsory hospital admission will result in service users being refused a tourist visa. However, there is a paucity of literature on this topic, particularly from an international perspective. Based on the information reviewed in this study, there is no evidence to support this belief. Of 262 travel destinations, 96 (36.6%) require British citizens to obtain a tourist visa. Six (2.3%) destinations require applicants to declare a mental health condition in order to obtain a tourist visa. None of these destinations ask applicants to declare a history of compulsory hospital admission. However, the possibility exists that anyone declaring a mental health problem may be asked to provide further information about their condition before a visa is granted. Mental health nurses require education to ensure that their knowledge of mental health legislation is up to date. This education should include information on the potential consequences of compulsory hospital admission for the service user's social life following discharge. Service users and their families should be provided with written information on the potential social impact of detention along with a list of organizations that can provide advice on specific issues. This study sought to establish whether a history of compulsory hospital admission prevented a person from obtaining a tourist visa. A visa application form and/or other relevant information were obtained for 262 travel destinations visited by British citizens. Ninety-six (36.6%) destinations require British citizens to obtain a tourist visa. All visas are issued subject to travellers meeting a number of conditions, for example being in possession of travel insurance

  17. Compulsory Community Care in New Zealand Mental Health Legislation 1846-1992

    Directory of Open Access Journals (Sweden)

    Anthony John O’Brien

    2013-05-01

    Full Text Available Community treatment orders are considered a new development in mental health care and are consistent with current New Zealand mental health policy of care in the community. However, since its first adoption in 1846, New Zealand mental health legislation has always made provision for compulsory mental health care out of hospital. Analysis of the text of each of the five iterations of mental health legislation shows that an initial (1846 provision for a friend or relative to take a committed patient into his or her care, as an alternative to committal to hospital, continued though various revisions until its current expression as a community treatment order. Using Rochefort’s model of change in mental health policy, we argue that a long static period until 1911 was followed by progressive change throughout the 20th century, although provision for compulsory out-of-hospital care has been continuous over the life of New Zealand’s legislation. In the late-20th century, compulsory mental health care is tied to medical treatment and mental health service surveillance of the patient’s social circumstances. We conclude with recommendations for how reformed legislation may contribute to future mental health policy by giving effect to agendas of positive rights and social inclusion.

  18. International dose assurance service programme of the International Atomic Energy Agency

    International Nuclear Information System (INIS)

    Nam, J.W.

    1988-01-01

    In order to execute normalization of high-doses on an international scale and to further promote dosimetry as quality control measures in radiation processing, the International Dose Assurance Service (IDAS) has recently been initiated in the framework of a high-dose standardization programme. IDAS is being provided on the basis of an ''Agreement Concerning the Provision of a Dose Assurance Service by the IAEA to Irradiation Facilities in its Member States''. The aim of the IDAS programme will be to meet stringent requirements for standardization of dosimetry, and to achieve concerted international efforts for quality assurance of radiation processing. Details of the programme and the achievements made to date are discussed. (author). 5 refs

  19. 19 CFR 210.61 - Discovery and compulsory process.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Discovery and compulsory process. 210.61 Section 210.61 Customs Duties UNITED STATES INTERNATIONAL TRADE COMMISSION INVESTIGATIONS OF UNFAIR PRACTICES IN IMPORT TRADE ADJUDICATION AND ENFORCEMENT Temporary Relief § 210.61 Discovery and compulsory...

  20. The social surplus of broadband initiatives in compulsory education

    Directory of Open Access Journals (Sweden)

    David Peter Parsons

    2016-10-01

    Full Text Available In 2010, the New Zealand government embarked upon an ambitious programme of broadband infrastructure investment, a process that will continue until at least 2019. Part of this investment is specifically targeted at compulsory education, with initiatives that include bringing fibre connections to the school gate, supporting on-site network upgrades (including wireless and providing teaching, learning and support services delivered through these networks. Such investments are not made without some projections of the likely rate of return, but calculating return on investment (ROI in educational broadband is complex, as it encompasses a range of factors. This article reports on an interview-based study engaging a range of stakeholders in educational broadband provision. The study utilises a research model that considers the various elements of social surplus, namely; producer surplus (savings, producer surplus (profit and consumer surplus (perceived value over and above cost, to explore the elements of social surplus that have been used to define educational broadband ROI calculations and justify the scale of investment. The results indicate that all three components of social surplus are relevant, though the concept of profit can only be seen in the broader context of long term contributions to the economy. A note of caution is that projections of ROI based only on positive returns fail to acknowledge the potential for some innovations to actually increase costs. Further, purely quantitative models do not properly take into account qualitative components of consumer surplus.

  1. Crime, Compulsory Schooling Laws and Education

    OpenAIRE

    Brian Bell; Rui Costa; Stephen Machin

    2015-01-01

    Do compulsory schooling laws reduce crime? Previous evidence for the U.S. from the 1960s and 1970s suggests they do, primarily working through their effect on educational attainment to generate a causal impact on crime. In this paper, we consider whether more recent experience replicates this. There are two key findings. First, there is a strong and consistent negative effect on crime from stricter compulsory schooling laws. Second, there is a weaker and sometimes non-existent link between su...

  2. Going global in physical therapist education: International Service-Learning in US-based programmes.

    Science.gov (United States)

    Pechak, Celia; Thompson, Mary

    2011-12-01

     Internationalization is expanding its presence in higher education in the United States. Reflecting this trend that includes incorporating global perspectives in the curricula, physical therapist education programmes increasingly offer international opportunities such as International Service-Learning (ISL) to their students. Service-learning, a teaching strategy that integrates community service with structured learning activities, has gained broad acceptance in health professions education including physical therapy, and is therefore the focus of this paper. The specific purposes of this paper were to identify and analyse the commonalities that existed among established ISL programmes within physical therapist education programmes in terms of structures and processes, and to consider its broader implications for physical therapist education.   A descriptive, exploratory study was performed using grounded theory. Snowball and purposive, theoretical sampling yielded 14 faculty members with experience in international service, international learning or ISL in physical therapist education programmes. Faculty were interviewed by phone. Interview transcriptions and course documents were analysed applying grounded theory methodology. Data from eight programmes which met the operational definition of established ISL were used to address the purposes of this paper.   Five phases of establishing an ISL programme were identified: development, design, implementation, evaluation, and enhancement. Although no single model exists for ISL in physical therapist education; commonalities in structures and processes were identified in each phase. However, attention to service objectives and outcomes is lacking.   While analysis revealed that each programme shared commonalities and demonstrated differences in structures and processes compared with the other programmes, the study demonstrated a general lack of focus on formal community outcomes which raises ethical

  3. CRIMSON [CRisis plan IMpact: Subjective and Objective coercion and eNgagement] Protocol: A randomised controlled trial of joint crisis plans to reduce compulsory treatment of people with psychosis

    Directory of Open Access Journals (Sweden)

    Henderson Claire

    2010-11-01

    Full Text Available Abstract Background The use of compulsory treatment under the Mental Health Act (MHA has continued to rise in the UK and in other countries. The Joint Crisis Plan (JCP is a statement of service users' wishes for treatment in the event of a future mental health crisis. It is developed with the clinical team and an independent facilitator. A recent pilot RCT showed a reduction in the use of the MHA amongst service users with a JCP. The JCP is the only intervention that has been shown to reduce compulsory treatment in this way. The CRIMSON trial aims to determine if JCPs, compared with treatment as usual, are effective in reducing the use of the MHA in a range of treatment settings across the UK. Methods/Design This is a 3 centre, individual-level, single-blind, randomised controlled trial of the JCP compared with treatment as usual for people with a history of relapsing psychotic illness in Birmingham, London and Lancashire/Manchester. 540 service users will be recruited across the three sites. Eligible service users will be adults with a diagnosis of a psychotic disorder (including bipolar disorder, treated in the community under the Care Programme Approach with at least one admission to a psychiatric inpatient ward in the previous two years. Current inpatients and those subject to a community treatment order will be excluded to avoid any potential perceived pressure to participate. Research assessments will be conducted at baseline and 18 months. Following the baseline assessment, eligible service users will be randomly allocated to either develop a Joint Crisis Plan or continue with treatment as usual. Outcome will be assessed at 18 months with assessors blind to treatment allocation. The primary outcome is the proportion of service users treated or otherwise detained under an order of the Mental Health Act (MHA during the follow-up period, compared across randomisation groups. Secondary outcomes include overall costs, service user engagement

  4. Compulsory acquisition of shares buyer, other shareholders, abuse of right of compulsory acquisition of shares

    Directory of Open Access Journals (Sweden)

    Arsić Zoran V.

    2015-01-01

    Full Text Available Company Act of Republic of Serbia includes mechanism for the compulsory acquisition of the shareholdings of minority shareholders. Technically this procedure is effected on the basis of the shareholders assembly resolution. Buyer is shareholder who has at least 90% of share capital and at least 90% of votes. Shares owned by entity under his dominant influence will be treated as shares of that shareholder provided that dominant influence exists at least one year. Company's own shares, and shares subject o a pledge do not represent shares of other shareholders. There are several actions which may be treated as abuse of right of compulsory acquisition of shares.

  5. Community-level impact of the reproductive health vouchers programme on service utilization in Kenya.

    Science.gov (United States)

    Obare, Francis; Warren, Charlotte; Njuki, Rebecca; Abuya, Timothy; Sunday, Joseph; Askew, Ian; Bellows, Ben

    2013-03-01

    This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15-49 years) from voucher and comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests and significant tests of proportions as well as estimation of multi-level logit models to predict service utilization by exposure to the programme. The results show that for births occurring after the voucher programme began, women from communities that had been exposed to the programme since 2006 were significantly more likely to have delivered at a health facility and to have received skilled care during delivery compared with those from communities that had not been exposed to the programme at all. There were, however, no significant differences in the timing of first trimester utilization of antenatal care (ANC) and making four or more ANC visits by exposure to the programme. In addition, poor women were significantly less likely to have used safe motherhood services (health facility delivery, skilled delivery care and postnatal care) compared with their non-poor counterparts regardless of exposure to the programme. Nonetheless, a significantly higher proportion of poor women from communities that had been exposed to the programme since 2006 used the services compared with their poor counterparts from communities that had not been exposed to the programme at all. The findings suggest that the programme is associated with increased health facility deliveries and skilled delivery care especially among poor women. However, it has had limited community-level impact on the first trimester timing of antenatal care use and making four or more visits, which remain a challenge despite the high proportion of women in the country that make at least one antenatal care visit during pregnancy.

  6. The Service Programme of the Isaac Newton Group of Telescopes

    Science.gov (United States)

    Méndez, J.

    2013-05-01

    The Service Programme of the Isaac Newton Group of Telescopes (Roque de los Muchachos Observatory, La Palma, Spain) aims at providing astronomers with a rapid and flexible tool for obtaining small sets of observations on the William Herschel Telescope up to 8 hours. This can be used to try new ideas or complement a regular observing programme allocated on the ING telescopes, for instance. Proposals are accepted from principal investigators working in an institution located in the United Kingdom, the Netherlands or Spain, but also regardless the nationality of the host institution. A monthly deadline for application submission takes place at midnight on the last day of each month but urgent requests submitted at any time can also be accepted. Proposals are generally withdrawn from the scheme after a one year period. In this poster we provide an overview of the programme and some statistics. More information can be obtained at http://www.ing.iac.es/astronomy/service/.

  7. Implementing Nunavut Education Act: Compulsory School Attendance Policy

    Science.gov (United States)

    Kwarteng, E. Fredua

    2006-01-01

    This paper discusses the implementation of Nunavut compulsory school attendance policy as part of the Nunavut Education Act (2002). Using a bottom-up approach to policy implementation in the literature and the author's six years teaching experience in Nunavut, the paper argues that the compulsory school attendance policy may not achieve its…

  8. Leadership: professional communities of leadership practice in post-compulsory education

    OpenAIRE

    Jameson, Jill

    2008-01-01

    Summary: This is a paper that reviews and outlines the academic basis behind leadership in the post-compulsory setting.\\ud Description: Leadership has been for some years a key area of strategic and operational importance in the UK post-compulsory sector - this publication aims to addresss some of the issues surrounding this topic. It discusses theories and definitions of leadership, leader professionalism and post-compulsory education. A collaborative model of professional leadership is reco...

  9. Family Economy and Its Implementation on Compulsory Education Program

    Directory of Open Access Journals (Sweden)

    Neni Hendaryati

    2015-12-01

    Full Text Available This research aims to determine and describe family economy and the implementation of nine-year compulsory education program at Kajenengan village, Bojong Sub District of Tegal in 2014. It was a qualitative descriptive study. The population of study was 1011 family leaders. This research used purposive sampling technique and 252 family leaders or about 25% of the population were as samples. Data were collected by observation, interview and documentation. Then, the data was analyzed by using data reduction, data display, and concluding. Findings show that the obstacles of social and economy faced by family: 47.20% of Kajenengan villagers are as farm labors, 28,57 % of  villagers get the average income per day from IDR 21,000 up to IDR 30,000,  33.73% of them have 5-6 family members in their nuclear family, and 32.80% of them who prioritize in education, especially on nine-years compulsory education program.  Then, there are only 8.73% of samples who implement the nine-year compulsory education program. Moreover, 47.62% family leaders say that most of their family members join the nine-year compulsory education and 43.65% of the family leaders say that all of their family members do not join the nine-year compulsory education at all.

  10. Comparing Youth Opinions toward Compulsory Voting across Five Countries

    Science.gov (United States)

    Pesek, Jessamay T.

    2014-01-01

    This study uses a comparative case study design to examine youth (ages 13-20) opinions toward compulsory voting across five democratic countries: Colombia, Ecuador, Mexico, Peru, and the United States. Youth responses toward compulsory voting demonstrate how youth come to learn about citizen rights and responsibilities with varied understandings…

  11. Introduction of China's Compulsory Product Certification System (Ⅰ)

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ Why does China establish a new Compulso-ry Product Certification System? For a long time, our compulsory product certification system has had problems such as lack of a unified management department, repeated assessments,repeated charging and no separation between certification activities and behaviors of law enforcement.The most obvious problem is that two certification management systems exist respectively for domestic products and imported products.

  12. Implementation evaluation of the business process services incentive programme

    Directory of Open Access Journals (Sweden)

    Nonceba Mashalaba

    2015-10-01

    Full Text Available The paper describes the implementation evaluation of the business process services (BPS incentive programme undertaken by the Department of Trade and Industry (the dti and the Department of Performance Monitoring and Evaluation (DPME as part of the 2012/2013 National Evaluation Plan. The evaluation started on 31 October 2012 and the final report was approved on 17 May 2013. The evaluation covers the period from the inception of the programme in January 2011 to December 2012. The BPS incentive programme was implemented to stimulate the business process sector which contributes to economic growth largely through employment creation. The main objectives of the programme are to attract investment and create employment opportunities through offshoring activities. Twenty-six indicators across the five Development Assistance Community (DAC evaluation criteria were developed. A multi-method approach was undertaken to collect data for each of the indicators. The key findings relate to the operation of the programme and a number of suggestions were made as to how to strengthen it. Overall 3807 jobs have been created through the BPS programme during the period under review. Estimated total investment provided by firms is approximately R2.7 billion. Amongst others, the study recommended that the design of the programme be reviewed and extended, potentially to a five-year period in order to maintain the competitiveness of South Africa as a business process off shoring destination. It is essential to address the skills shortage to ensure the growth and sustainability of the South African BPS industry and finally the uptake of the incentive programme.

  13. Object and subject of evasion of taxes and other compulsory payments

    Directory of Open Access Journals (Sweden)

    Koval L.

    2014-01-01

    Full Text Available The paper is devoted to such topical issue of Criminal Law as Object and Subject of Evasion of Taxes and Other Compulsory Payments. There are analyzed researched crime determination problems, which are connected with subject and object of tax and other compulsory payments evasion. In the course of the research, the author has made the conclusions that the object of the evasion of taxes and other compulsory payments group is the national economic interests. The direct object is the national economic interests in the sphere of state revenues or the national fiscal interests. While analyzing the law and regulations it is concluded that the subject of the evasion of taxes and other compulsory payments is the tax base (income, property, expenses and consumption, taxes, state and local government fees, as well as other payments determined by the State. The author has also concluded that the subject of the evasion of taxes and other compulsory payments does not include increase in the tax principal debt, fine and late charge, which are covered by the financial responsibility. The subject of the evasion of taxes and other compulsory payments may not include also income from illegal activity or proceeds resulting from criminal offences.

  14. INNOVATIVE APPROACH IN THE COMPULSORY HEALTH INSURANCE TARIFF SETTING

    Directory of Open Access Journals (Sweden)

    M. Yu. Zasypkin

    2015-02-01

    Full Text Available Development of a single channel financing in the health system of the Russian Federation based on the standards of the compulsory health insurance (CHI requires a single channel financing of the health system through the CHI as one of the main direction using payment of the medical services in the form of so-called «full» tariff [1-12].It is not a secret that for many years the medical services tariff in the CHI system contained from only five items of expenditures (salary, charges on payroll, soft goods and clothing, medicines, bandages, other medical expenses, and food. On one hand, such defective tariff was based on the parallel government financing of the medical institutions (MIs, on the other hand, because of this tariff, the manager was hoppled in the control of the financial flows.

  15. Exploring weight loss services in primary care and staff views on using a web-based programme.

    Science.gov (United States)

    Ware, Lisa J; Williams, Sarah; Bradbury, Katherine; Brant, Catherine; Little, Paul; Hobbs, F D Richard; Yardley, Lucy

    2012-01-01

    Demand is increasing for primary care to deliver effective weight management services to patients, but research suggests that staff feel inadequately resourced for such a role. Supporting service delivery with a free and effective web-based weight management programme could maximise primary care resource and provide cost-effective support for patients. However, integration of e-health into primary care may face challenges. To explore primary care staff experiences of delivering weight management services and their perceptions of a web-based weight management programme to aid service delivery. Focus groups were conducted with primary care physicians, nurses and healthcare assistants (n = 36) involved in delivering weight loss services. Data were analysed using inductive thematic analysis. Participants thought that primary care should be involved in delivering weight management, especially when weight was aggravating health problems. However, they felt under-resourced to deliver these services and unsure as to the effectiveness of their input, as routine services were not evaluated. Beliefs that current services were ineffective resulted in staff reluctance to allocate more resources. Participants were hopeful that supplementing practice with a web-based weight management programme would enhance patient services and promote service evaluation. Although primary care staff felt they should deliver weight loss services, low levels of faith in the efficacy of current treatments resulted in provision of under-resourced and 'ad hoc' services. Integration of a web-based weight loss programme that promotes service evaluation and provides a cost-effective option for supporting patients may encourage practices to invest more in weight management services.

  16. Exploring weight loss services in primary care and staff views on using a web-based programme

    Directory of Open Access Journals (Sweden)

    Lisa J Ware

    2013-09-01

    Full Text Available Background Demand is increasing for primary care to deliver effective weight management services to patients, but research suggests that staff feel inadequately resourced for such a role. Supporting service delivery with a free and effective web-based weight management programme could maximise primary care resource and provide cost-effective support for patients. However, integration of ehealth into primary care may face challenges.Objectives To explore primary care staff experiences of delivering weight management services and their perceptions of a web-based weight management programme to aid service delivery.Methods Focus groups were conducted with primary care physicians, nurses and healthcare assistants (n = 36 involved in delivering weight loss services. Data were analysed using inductive thematic analysis.Results Participants thought that primary care should be involved in delivering weight management, especially when weight was aggravating health problems. However, they felt under-resourced to deliver these services and unsure as to the effectiveness of their input, as routine services were not evaluated. Beliefs that current services were ineffective resulted in staff reluctance to allocate more resources. Participants were hopeful that supplementing practice with a web-based weight management programme would enhance patient services and promote service evaluation.Conclusions Although primary care staff felt they should deliver weight loss services, low levels of faith in the efficacy of current treatments resulted in provision of under-resourced and ‘ad hoc’ services. Integration of a web-based weight loss programme that promotes service evaluation and provides a cost-effective option for supporting patients may encourage practices to invest more in weight management services.

  17. 47 CFR 80.307 - Compulsory use of radiotelegraph auto alarm.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Compulsory use of radiotelegraph auto alarm. 80.307 Section 80.307 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL... Safety Watches § 80.307 Compulsory use of radiotelegraph auto alarm. The radiotelegraph auto alarm...

  18. 77 FR 44179 - Mechanical and Digital Phonorecord Delivery Compulsory License

    Science.gov (United States)

    2012-07-27

    ... of account, certified by a certified public accountant, shall be filed for every compulsory license... Statements of Account, certified by a certified public accountant, shall be filed for every compulsory... it to the public for private use. The mechanical license may be used once phonorecords of a...

  19. The CPD Needs of Mentors in Post-Compulsory Initial Teacher Training in England

    Science.gov (United States)

    Ingleby, Ewan; Hunt, John

    2008-01-01

    This paper discusses the compulsory professional development (CPD) needs of mentors within post-compulsory Initial Teacher Training (ITT) provision in England. The discussion applies the ideas of Weber, Foucault, Habermas and Bourdieu in interpreting the implications for post-compulsory ITT mentor CPD training. The paper's primary and secondary…

  20. Perceptions of an educational programme for registered nurses who work at non-major trauma services in Victoria, Australia: The Nursing Emergency eXternal Trauma Programme.

    Science.gov (United States)

    Ireland, Sharyn; Cross, Rachel; Decker, Kelly; Mitra, Biswadev

    2017-08-01

    Emergency nurses working in non-Major Trauma Service (non-MTS) facilities face the challenge of providing immediate care to seriously injured patients, despite infrequent presentations at their workplace. A one-day education programme endorsed by the Australian College of Nursing was developed to provide contemporary trauma education for nurses. The aim of this study was to report participants' perceptions of their experience of this programme. Peer reviewed lesson plans were developed to guide educational activities. Of 32 participants, 24 consented to and completed pre and post-programme surveys. Thematic analysis and descriptive statistics were used to report study findings. Most participants were nurses with greater than two years' experience in Emergency Nursing (92%). Trauma patient transfers each year from a non-MTS to a Major Trauma Service occurred infrequently; eight nurses (33.3%) reported greater than10 trauma transfers per year. Participant expectations of the programme included personal growth, knowledge acquisition, increased confidence and a focus on technical skills. Participants reported the day to be worthwhile and valuable; improved confidence, increased knowledge, and the opportunity to discuss current evidence based practice were highly regarded. Recommendations for future programmes included extending to two days and include burns and more complex pathophysiology. With centralisation of trauma care to major trauma services, frequent and continuing education of nurses is essential. Nurses from non-Major Trauma Service facilities in Victoria found this programme worthwhile as they gained knowledge and skills and increased confidence to care for trauma patients. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  1. Cost and impact of a quality improvement programme in mental health services.

    Science.gov (United States)

    Beecham, Jennifer; Ramsay, Angus; Gordon, Kate; Maltby, Sophie; Walshe, Kieran; Shaw, Ian; Worrall, Adrian; King, Sarah

    2010-04-01

    To estimate the cost and impact of a centrally-driven quality improvement initiative in four UK mental health communities. Total costs in year 1 were identified using documentation, a staff survey, semi-structured interviews and discussion groups. Few outcome data were collected within the programme so thematic analysis was used to identify the programme's impact within its five broad underlying principles. The survey had a 40% response. Total costs ranged between pound164,000 and pound458,000 per site, plus staff time spent on workstreams. There was a very hazy view of the resources absorbed and poor recording of expenditure and activity. The initiative generated little demonstrable improvements in service quality but some participants reported changes in attitudes. Given the difficult contexts, short time-scales and capacity constraints, the programme's lack of impact is not surprising. It may, however, represent a worthwhile investment in cultural change which might facilitate improvements in how services are delivered.

  2. Self-Stigma and Quality of Life among People with Mental Illness Who Receive Compulsory Community Treatment Services

    Science.gov (United States)

    Livingston, James

    2012-01-01

    The present study was designed to examine the relationship between self-stigma and quality of life over a one year time period for 71 people with mental illness who were receiving compulsory community mental health treatment. It was hypothesized that, over time, self-stigma would have the direct effect of eroding quality of life among people with…

  3. CULTURAL PROGRAMMES POSITIONING AS AN ELEMENT OF PUBLIC SERVICE TELEVISION MISSION IN NRK BASED ON ANALYSIS OF THE PROGRAMME OFFER IN 2009

    Directory of Open Access Journals (Sweden)

    Maja Chacinska

    2011-01-01

    Full Text Available At the beginning of 2010 the culture editor of the Norwegian newspaper Aftenposten called the Norwegian television NRK “the best public service broadcaster in the world” and „the biggest and most important Norwegian cultural institution”. The article is an attempt to verify this statement through identifying the place of cultural programmes in NRK schedule in 2009. The author analyses how the cultural mission is described in current legal documents concerning Norwegian public service media mission. Furthermore the article is an attempt to identify how NRK defines cultural programmes and how it classifies them. In the second part of the article the author analyses the television programme of NRK1 and NRK2 in 2009, and presents the results of a more detailed analysis of selected three weeks of that year concerning the execution of its cultural mission.

  4. Art engagement and mental health: experiences of service users of a community-based arts programme at Tate Modern, London.

    Science.gov (United States)

    McKeown, Eamonn; Weir, Hannele; Berridge, Emma-Jane; Ellis, Liz; Kyratsis, Yiannis

    2016-01-01

    To examine the experiences of mental health service users who took part in an arts-based programme at Tate Modern, a major London art gallery. Exploratory qualitative design. Data were collected using in-depth semi-structured interviews with 10 mental health service users who had taken part in a community-based programme at Tate Modern. Additionally, six art educators from Tate Modern were interviewed. Concepts that emerged from the text were identified using thematic analysis. All participants valued the gallery-based programme. The three overarching thematic areas were: the symbolic and physical context in which the programme workshops were located; the relational and social context of the programme workshops; and reflections on the relationship between the arts-based programme and subsequent mental health. Art galleries are increasingly seen to function as vehicles for popular education with mental health service users. This study adds to the growing body of evidence related to how mental health service users experience and reflect on arts-related programmes targeted at them. This study indicates that emphasis on how users experience gallery-based programmes may contribute to a more nuanced understanding of the relationship between art and mental health. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  5. Cultivating a Troubled Consciousness: Compulsory sound-mindedness and complicity in oppression

    Directory of Open Access Journals (Sweden)

    C. Chapman

    2013-11-01

    Full Text Available Implicating oneself in oppression provokes uncertainty, shame and anxiety, and identity destabilizations. Yet anti-oppressive texts often denigrate these experiences, participating in forces I call “compulsory sound-mindedness.” Narratives of three women confronting their complicity illustrate the workings of compulsory sound-mindedness: a white Canadian recognizing the racism in her development work and both a white woman and a racialized Muslim reflecting on their complicity in ongoing Canadian colonization. The three narratives devalue affect, uncertainty, and destabilized identity. They also reveal these denigrated experiences as fundamental to personal-is-political ethical transformation. Compulsory sound-mindedness cannot consistently prevent people from journeying with pain, uncertainty, and coming undone. But when people undertake such journeys, compulsory sound-mindedness frames pain, identity destabilization, and uncertainty as regrettable and without value. I advocate that people cultivate a “troubled consciousness” by journeying with internalized accountability narratives, uncertainties, painful feelings, and destabilizations of a straightforwardly moral self.

  6. Evaluation of service users' experiences of participating in an exercise programme at the Western Australian State Forensic Mental Health Services.

    Science.gov (United States)

    Wynaden, Dianne; Barr, Lesley; Omari, Omar; Fulton, Anthony

    2012-06-01

    Approximately 210 patients are admitted each year to the Western Australian State Forensic Mental Health Service, and most present with psychotic illness, along with other physical and mental comorbidities. In 2010, a healthy lifestyle programme, which included a formal exercise programme coordinated by an exercise physiologist, was introduced at the service. A self-report questionnaire was developed to obtain feedback on the programme, and 56 patients completed the questionnaire during the 6-month evaluation period. As well as providing patients with access to regular physical activity, the programme also supports the recovery philosophy, where patients work in partnership with forensic mental health staff. Overall, patients reported that the programme assisted them to manage their psychiatric symptoms, as well as improving their level of fitness, confidence, and self-esteem. In addition, patients received education about the importance of regular exercise to their mental health, and the role exercise plays in preventing chronic illness and obesity. While the benefits of exercise on mental health outcomes for people with depression and anxiety are well established, this evaluation adds to the evidence that such programmes provide similar benefits to people who have a psychotic illness and are hospitalized in an acute secure setting. © 2012 The Authors. International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

  7. Establishing a pharmacotherapy induced ototoxicity programme within a service-learning approach

    Directory of Open Access Journals (Sweden)

    Natalie Schellack

    2015-06-01

    Full Text Available Pharmacotherapy-induced ototoxicity is growing, especially in developing countries such as South Africa. This highlights the importance of ototoxicity monitoring and management of hearing loss. This article focuses on the establishment of an ototoxicity clinic as a site for the implementation of a service-learning module in the Audiology programme. The clinic offers a unique opportunity of collaboration between pharmacists and an audiologist where pharmacotherapy-induced ototoxicity is uniquely monitored. The Sefako Makgatho Health Sciences University (SMU provides training to both the disciplines audiology and pharmacy. The main aim of this article is to describe how ototoxicity monitoring is implemented in the curriculum within such an academic service-learning approach. Through service learning students develop a deeper understanding of course content, acquire new knowledge and engage in civic activity. It simultaneously provides a unique opportunity for interdisciplinary collaboration between the disciplines of audiology and pharmacy. The objectives for this programme are therefore to facilitate learning and to provide a service to the local community by identifying, preventing and monitoring medicine-induced hearing loss in in-hospital and out-patients; as well as to establish inter-disciplinary collaboration between the disciplines and stakeholders for more effective service delivery. The constant interdisciplinary teamwork between the audiologist, pharmacist, physician and nursing staff in the wards results in best practice and management of patients with ototoxic damage.

  8. Developing mental health services in Nigeria : the impact of a community-based mental health awareness programme.

    Science.gov (United States)

    Eaton, Julian; Agomoh, Ahamefula O

    2008-07-01

    This grass-roots level mental health awareness programme considerably increased use of community-based mental health services in a part of Nigeria where knowledge about treatability of mental illness was limited. The benefits of the programme were sustained for a significant period after the initial awareness programme. In order for attitude changes to be reinforced, similar awareness programmes must be repeated at regular intervals.

  9. Impact of in-service education and training programmes on teachers ...

    African Journals Online (AJOL)

    Up to 80% of the teachers have participated in three or less INSET activities but only 10% of them said they engaged in activities that involved teaching reading methods in Social Studies. The paper therefore argues that in-service education and training programmes organized did little in exposing teachers to skills required ...

  10. Shared decision-making for psychiatric medication: A mixed-methods evaluation of a UK training programme for service users and clinicians.

    Science.gov (United States)

    Ramon, Shulamit; Morant, Nicola; Stead, Ute; Perry, Ben

    2017-12-01

    Shared decision making (SDM) is recognised as a promising strategy to enhance good collaboration between clinicians and service users, yet it is not practised regularly in mental health. Develop and evaluate a novel training programme to enhance SDM in psychiatric medication management for service users, psychiatrists and care co-ordinators. The training programme design was informed by existing literature and local stakeholders consultations. Parallel group-based training programmes on SDM process were delivered to community mental health service users and providers. Evaluation consisted of quantitative measures at baseline and 12-month follow-up, post-programme participant feedback and qualitative interviews. Training was provided to 47 service users, 35 care-coordinators and 12 psychiatrists. Participant feedback was generally positive. Statistically significant changes in service users' decisional conflict and perceptions of practitioners' interactional style in promoting SDM occurred at the follow-up. Qualitative data suggested positive impacts on service users' and care co-ordinators confidence to explore medication experience, and group-based training was valued. The programme was generally acceptable to service users and practitioners. This indicates the value of conducting a larger study and exploring application for non-medical decisions.

  11. Conceptualisation of knowledge construction in community service-learning programmes in nursing education

    Directory of Open Access Journals (Sweden)

    Sindi Z. Mthembu

    2013-06-01

    Full Text Available Background: Practices in higher education have been criticised for not developing and preparing students for the expertise required in real environments. Literature reports that educational programmes tend to favour knowledge conformation rather than knowledge construction; however, community service learning (CSL is a powerful pedagogical strategy that encourages students to make meaningful connections between the content in the classroom and real-life experiences as manifested by the communities. Through CSL, learning is achieved by the active construction of knowledge supported by multiple perspectives within meaningful real contexts, and the social interactions amongst students are seen to play a critical role in the processes of learning and cognition. This article reflects facilitators’ perspective of the knowledge construction process as used with students doing community service learning in basic nursing programmes. Objectives: The aim of this article was to conceptualise the phenomenon of knowledge construction and thereby provide educators with a shared meaning and common understanding, and to analyse the interaction strategies utilised by nurse educators in the process of knowledge construction in community service-learning programmes in basic nursing education. Method: A qualitative research approach based on a grounded theory research design was used in this article. Two nursing education institutions were purposively selected. Structured interviews were conducted with 16 participants. Results: The results revealed that the knowledge construction in community service-learning programmes is conceptualised as having specific determinants, including the use of authentic health-related problems, academic coaching through scaffolding, academic discourse-dialogue, interactive learning in communities of learners, active learning, continuous reflection as well as collaborative and inquiry-based learning. Upon completion of an experience

  12. Conceptualisation of knowledge construction in community service-learning programmes in nursing education.

    Science.gov (United States)

    Mthembu, Sindi Z; Mtshali, Fikile G

    2013-01-01

    Practices in higher education have been criticised for not developing and preparing students for the expertise required in real environments. Literature reports that educational programmes tend to favour knowledge conformation rather than knowledge construction; however, community service learning (CSL) is a powerful pedagogical strategy that encourages students to make meaningful connections between the content in the classroom and real-life experiences as manifested by the communities. Through CSL, learning is achieved by the active construction of knowledge supported by multiple perspectives within meaningful real contexts, and the social interactions amongst students are seen to play a critical role in the processes of learning and cognition. This article reflects facilitators’ perspective of the knowledge construction process as used with students doing community service learning in basic nursing programmes. The aim of this article was to conceptualise the phenomenon of knowledge construction and thereby provide educators with a shared meaning and common understanding, and to analyse the interaction strategies utilised by nurse educators in the process of knowledge construction in community service-learning programmes in basic nursing education. A qualitative research approach based on a grounded theory research design was used in this article. Two nursing education institutions were purposively selected. Structured interviews were conducted with 16 participants. The results revealed that the knowledge construction in community service-learning programmes is conceptualised as having specific determinants, including the use of authentic health-related problems, academic coaching through scaffolding, academic discourse-dialogue, interactive learning in communities of learners, active learning, continuous reflection as well as collaborative and inquiry-based learning. Upon completion of an experience, students create and test generated knowledge in different

  13. The compulsory psychiatric regime in Hong Kong: Constitutional and ethical perspectives.

    Science.gov (United States)

    Cheung, Daisy

    This article examines the compulsory psychiatric regime in Hong Kong. Under section 36 of the Mental Health Ordinance, which authorises long-term detention of psychiatric patients, a District Judge is required to countersign the form filled out by the registered medical practitioners in order for the detention to be valid. Case law, however, has shown that the role of the District Judge is merely administrative. This article suggests that, as it currently stands, the compulsory psychiatric regime in Hong Kong is unconstitutional because it fails the proportionality test. In light of this conclusion, the author proposes two solutions to deal with the issue, by common law or by legislative reform. The former would see an exercise of discretion by the courts read into section 36, while the latter would involve piecemeal reform of the relevant provisions to give the courts an explicit discretion to consider substantive issues when reviewing compulsory detention applications. The author argues that these solutions would introduce effective judicial supervision into the compulsory psychiatric regime and safeguard against abuse of process. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Waste management assessment and technical review programme. WATRP. An international peer review service for radioactive waste management activities

    International Nuclear Information System (INIS)

    1994-09-01

    International Atomic Energy Agency provides international peer review services in radioactive waste management to those Member States that have established radioactive waste management programmes. Such services are provided within Waste Management Assessment and Technical Review Programme (WATRP). The main objective of WATRP is to provide international expertise and information on a requested subject in the field of radioactive waste management and to validate that programmes and activities are sound and performing well. Refs, figs and tabs

  15. Student Perceptions of Academic Service Learning: Using Mixed Content Analysis to Examine the Effectiveness of the International Baccalaureate Creativity, Action, Service Programme

    Science.gov (United States)

    Hatziconstantis, Christos; Kolympari, Tania

    2016-01-01

    The International Baccalaureate Diploma Programme for secondary education students requires the successful completion of the Creativity, Action, Service (CAS) component (more recently renamed Creativity, Activity, Service) which is based on the philosophy of experiential learning and Academic Service Learning. In this article, the technique of…

  16. Reflection on key competencies for lifelong learning: A structural analysis of teachers' study programmes in the Republic of Croatia

    Directory of Open Access Journals (Sweden)

    Matilda Karamatić Brčić

    2014-08-01

    Full Text Available Educating teachers on the initial level of the teachers' studies programmes' compulsory and elective courses allows these educators to acquire the competencies they need to transmit and teach the same information to children. In the realm of contemporary educational practices, acquiring competency in teaching work is part of a process of lifelong learning. This paper will analyse the structure of Croatian teachers' studies programmes, focusing on the name of the course and the teaching workload of the same, with an emphasis on the concept of key competencies for lifelong learning according to the European Framework of Reference. In this paper, compulsory and elective courses were classified according to the following competencies for lifelong learning: communication in the mother tongue, communication in foreign languages, mathematical competencies, basic competencies in science and technology, and digital competency. The results reveal that there are no statistically significant differences among Croatian teachers' studies programmes in terms of teaching workload, taking into account how competent the teacher is considered to be; there are statistically significant differences among the Croatian teachers' studies programmes in the possible teaching workload for elective courses because of teacher's perceived competency level. Despite the fact that all of the teachers' studies programmes bestow the same title upon graduates, the analysis of access to teacher studies in the  Republic of Croatia shows that the screening criteria are different in study programmes at different universities.

  17. 37 CFR 256.2 - Royalty fee for compulsory license for secondary transmission by cable systems.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Royalty fee for compulsory... ADJUSTMENT OF ROYALTY FEE FOR CABLE COMPULSORY LICENSE § 256.2 Royalty fee for compulsory license for... receipts be reduced to less than $10,400. The royalty fee payable under this paragraph shall be 0.5 of 1...

  18. Implementation of Compulsory Study 12 Year Policy to Increase Education Quality in Kudus Regency

    Directory of Open Access Journals (Sweden)

    Asih Widi Lestari

    2015-02-01

    Full Text Available Education is an important instrument in improving the human resources quality. Kudus Regency has implemented compulsory study since 2010 through Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 (Twelve Years. While, Central Government issued compulsory study 12 year policy in June 2013 through Ministry of Education and Culture Regulation Number 80/2013 about Universal Secondary Education. Obviously, this is a bold step of Kudus Regency Government in improving the education quality at Kudus Regency. The research objectives are: to know, analyze, and describe about Implementation of compulsory study 12 years policy to increase education in Kudus Regency; and to know, analyze, and describe about supporting and inhibiting factors toward implementation of compulsory study 12 years policy to increase education quality in Kudus Regency. This research resulted that the implementation compulsory study 12 years policy in Kudus Regency has been successfully, viewed from the actor that completely carry out their duties and responsibilities; the existence of funding and programs from Kudus Regency Government and Central Government is supporting the mechanism implementation in accordance with the provisions. The compulsory study 12 years policy in Kudus Regency had positive impact in improving the education quality at Kudus Regency, it is seen from the increase of Gross Enrollment Ratio (GER for secondary education from 60% in 2008 to 80,59% in 2013. The success in improving the education quality is also seen from achievement of Kudus Regency in obtained champions in various championships. The supporting factors are The content of the Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 Years and the Minister of Education and Culture Regulation Number 80/ 2013 about Universal Secondary Education which clear and easy to understand; the willingness of Kudus Society in receiving the compulsory study 12 years policy

  19. The National Youth Service Corps Programme and Growing Security Threat in Nigeria

    Directory of Open Access Journals (Sweden)

    Chukwuemeka Okafor

    2014-06-01

    Full Text Available The National Youth Service Corps (NYSC was established in 1973 after the Nigerian civil war to involve Nigerian university graduates below the age of thirty in nation building. Gradually, the scheme was opened-up for polytechnic graduates.  The article presents the objectives and deployment policy of the programme. It shows that the early phase of the programme recorded the problems of corruption, ghost corps members, accommodation, language barriers as well as hostile culture. However, the contemporary Nigerian society has been overtaken by the destructive wind of insecurity. The article reveals that the various waves of political violence in the country, including Boko Haram terrorism, hostage crises, and geographical threats have turned into a collection of overwhelming menace to the programme, thereby leading to massive agitation for itabrogation. The article recommends for multiple series of reforms in order to protect the lives of many Nigerian graduates that are building the nation through this admirable development programme.

  20. Health Problems during Compulsory Military Service Predict Disability Retirement: A Register-Based Study on Secular Trends during 40 Years of Follow-Up.

    Science.gov (United States)

    Frilander, Heikki; Lallukka, Tea; Viikari-Juntura, Eira; Heliövaara, Markku; Solovieva, Svetlana

    2016-01-01

    Disability retirement causes a significant burden on the society and affects the well-being of individuals. Early health problems as determinants of disability retirement have received little attention. The objective was to study, whether interrupting compulsory military service is an early indicator of disability retirement among Finnish men and whether seeking medical advice during military service increases the risk of all-cause disability retirement and disability retirement due to mental disorders and musculoskeletal diseases. We also looked at secular trends in these associations. We examined a nationally representative sample of 2069 men, who had entered military service during 1967-1996. We linked military service health records with cause-specific register data on disability retirement from 1968 to 2008. Secular trends were explored in three service time strata. We used the Cox regression model to estimate proportional hazard ratios and their 95% confidence intervals. During the follow-up time altogether 140 (6.8%) men retired due to disability, mental disorders being the most common cause. The men who interrupted service had a remarkably higher cumulative incidence of disability retirement (18.9%). The associations between seeking medical advice during military service and all-cause disability retirement were similar across the three service time cohorts (overall hazard ratio 1.40 per one standard deviation of the number of visits; 95% confidence interval 1.26-1.56). Visits due to mental problems predicted disability retirement due to mental disorders in the men who served between 1987 and 1996 and a tendency for a similar cause-specific association was seen for musculoskeletal diseases in the men who served in 1967-1976. In conclusion, health problems-in particular mental problems-during late adolescence are strong determinants of disability retirement. Call-up examinations and military service provide access to the entire age cohort of men, where

  1. On Financial Support System for Compulsory Education in China's Western Minority Areas

    Science.gov (United States)

    Jinyu, Qi

    2008-01-01

    China's Western Development is a policy adopted to boost its less developed Western regions, that is, a systematic project and a longterm and arduous task. The development of compulsory education in China's minority areas is the key to it. This paper attempts to use the beneficial experience of developing compulsory education support system of…

  2. Policies for Compulsory Education Disparity Between Urban and Rural Areas in China

    Institute of Scientific and Technical Information of China (English)

    Bao Chuanyou

    2006-01-01

    An important function of public policies is to distribute public resources rationally.But for a long time.our public policies have been SO"city-oriented"that public resources are allocated unfairly and majority of high-quality education resources are concentrated in cities.This has already led to a serious unbalanced development in compdsory education and to a tremendous gap in conditions in schools--running and enrollment chances fur the school-age children between rural and urban areas.which tend to be enlarged.The unbalanced development in compulsory education has not only blocked the realization of public interest and equity of compulsory education but also restricted the harmonious social and economic development between urban and rural areas.It iS necessary to look into Public policies that have influence on the division of public resources and criticize them rationally.These policies include land institutions,tax systems,social security systems,policies for the input of compulsory education,and policies for teachers,etc.New policies should be made to distribute public resources fairly and rationally,narrowing the gap in compulsory education between urban and rural areas.

  3. The KwaZulu-Natal Child Eye Care Programme: Delivering refractive error services to primary school learners

    Directory of Open Access Journals (Sweden)

    Y. I. Mahraj

    2011-12-01

    sion screeners screened 239 606 primary school children from February 2007 to May 2008. Seven percent (15 944 of the children failed the vision screening and were referred for optometric assessments. Of the 15 944 children that failed the vision screening, 10 707 children were examined by optometrists and 1083 were found to have a refractive error and were therefore supplied with spectacles. The study indicates that a short-term programme to address a backlog of services can reach many underserved children. This programme identified many challenges of implementing a vision screening programme such as poor uptake of refractive services by learners in the absence of an appropriate referral system and high attrition of trained vision screeners. (S Afr Optom 2011 70(2 61-68

  4. What Is the Influence of a Compulsory Attendance Policy on Absenteeism and Performance?

    Science.gov (United States)

    Snyder, Jason L.; Lee-Partridge, Joo Eng; Jarmoszko, A. Tomasz; Petkova, Olga; D'Onofrio, Marianne J.

    2014-01-01

    The authors utilized a quasiexperimental design across sections of managerial communication and management information systems classes (N = 212) to test the impact of compulsory attendance policies on student absenteeism and performance. Students in the compulsory attendance policy condition received an attendance policy that punished excessive…

  5. Compulsory licensing in Canada and Thailand: comparing regimes to ensure legitimate use of the WTO rules.

    Science.gov (United States)

    Lybecker, Kristina M; Fowler, Elisabeth

    2009-01-01

    This paper examines two recent examples of compulsory licensing legislation: one globally embraced regime and one internationally controversial regime operating under the same WTO rules. In particular, we consider Canadian legislation and the use of compulsory licensing for HIV/AIDS drugs destined for a developing country. This is then contrasted with the conditions under which Thai authorities are pursuing compulsory licenses, the outcomes of their compulsory licenses, as well as the likely impact of the Thai policy. Finally, we construct a rubric to evaluate characteristics of a successful regime. This is used to analyze the Canadian and Thai regimes and frame the expected implications of each national policy. It is hoped that the assessment will guide changes to compulsory licensing design to ensure that legitimate regimes are embraced while illegitimate ones are disallowed.

  6. Linked symptom monitoring and depression treatment programmes for specialist cancer services: protocol for a mixed-methods implementation study.

    Science.gov (United States)

    Wanat, Marta; Walker, Jane; Burke, Katy; Sevdalis, Nick; Richardson, Alison; Mulick, Amy; Frost, Chris; Sharpe, Michael

    2017-07-02

    There is growing awareness that cancer services need to address patients' well-being as well as treating their cancer. We developed systematic approaches to (1) monitoring patients' symptoms including depression using a 'Symptom Monitoring Service' and (2) providing treatment for those with major depression using a programme called 'Depression Care for People with Cancer'. Used together, these two programmes were found to be highly effective and cost-effective in clinical trials. The overall aims of this project are to: (1) study the process of introducing these programmes into routine clinical care in a large cancer service, (2) identify the challenges associated with implementation and how these are overcome, (3) determine their effectiveness in a routine non-research setting and (4) describe patients' and clinicians' experience of the programmes. This is a mixed-methods longitudinal implementation study. We will study the process of implementation in three phases (April 2016-December 2018): 'Pre-implementation' (setting up of the new programmes), 'Early Implementation' (implementation of the programmes in a small number of clinics) and 'Implementation and Maintenance' (implementation in the majority of clinics). We will use the following methods of data collection: (1) contemporaneous logs of the implementation process, (2) interviews with healthcare professionals and managers, (3) interviews with patients and (4) routinely collected clinical data. The study has been reviewed by a joint committee of Oxford University Hospitals National Health Service Foundation Trust Research and Development Department and the University of Oxford's Clinical Trials and Research Governance Department and judged to be service evaluation, not requiring ethics committee approval. The findings of this study will guide the scaling up implementation of the programmes across the UK and will enable us to construct an implementation toolkit. We will disseminate our findings in

  7. Evaluating the implementation of a national clinical programme for diabetes to standardise and improve services: a realist evaluation protocol.

    Science.gov (United States)

    McHugh, S; Tracey, M L; Riordan, F; O'Neill, K; Mays, N; Kearney, P M

    2016-07-28

    Over the last three decades in response to the growing burden of diabetes, countries worldwide have developed national and regional multifaceted programmes to improve the monitoring and management of diabetes and to enhance the coordination of care within and across settings. In Ireland in 2010, against a backdrop of limited dedicated strategic planning and engrained variation in the type and level of diabetes care, a national programme was established to standardise and improve care for people with diabetes in Ireland, known as the National Diabetes Programme (NDP). The NDP comprises a range of organisational and service delivery changes to support evidence-based practices and policies. This realist evaluation protocol sets out the approach that will be used to identify and explain which aspects of the programme are working, for whom and in what circumstances to produce the outcomes intended. This mixed method realist evaluation will develop theories about the relationship between the context, mechanisms and outcomes of the diabetes programme. In stage 1, to identify the official programme theories, documentary analysis and qualitative interviews were conducted with national stakeholders involved in the design, development and management of the programme. In stage 2, as part of a multiple case study design with one case per administrative region in the health system, qualitative interviews are being conducted with frontline staff and service users to explore their responses to, and reasoning about, the programme's resources (mechanisms). Finally, administrative data will be used to examine intermediate implementation outcomes such as service uptake, acceptability, and fidelity to models of care. This evaluation is using the principles of realist evaluation to examine the implementation of a national programme to standardise and improve services for people with diabetes in Ireland. The concurrence of implementation and evaluation has enabled us to produce formative

  8. Analysis of context factors in compulsory and incentive strategies for improving attraction and retention of health workers in rural and remote areas: a systematic review.

    Science.gov (United States)

    Liu, Xiaoyun; Dou, Lixia; Zhang, Huan; Sun, Yang; Yuan, Beibei

    2015-07-21

    Current literature systematically reports that interventions to attract and retain health workers in underserved areas need to be context specific but rarely defines what that means. In this systematic review, we try to summarize and analyse context factors influencing the implementation of interventions to attract and retain rural health workers. We searched online databases, relevant websites and reference lists of selected literature to identify studies on compulsory rural service programmes and financial incentives. Forty studies were selected. Information regarding context factors at macro, meso and micro levels was extracted and synthesized. Macro-level context factors include political, economic and social factors. Meso-level factors include health system factors such as maldistribution of health workers, growing private sector, decentralization and health financing. Micro-level factors refer to the policy implementation process including funding sources, administrative agency, legislation process, monitoring and evaluation. Macro-, meso- and micro-level context factors can play different roles in agenda setting, policy formulation and implementation of health interventions to attract and retain rural health workers. These factors should be systematically considered in the different stages of policy process and evaluation.

  9. Evaluation of a Trauma-Focused CBT Training Programme for IAPT services.

    Science.gov (United States)

    Murray, Hannah

    2017-09-01

    Therapists in Improving Access to Psychological Therapies (IAPT) services are often expected to treat complex presentations of post-traumatic stress disorder (PTSD), such as individuals with multiple, prolonged or early life trauma histories and significant co-morbidity, for which they have received minimal training. Although high recovery rates for PTSD have been demonstrated in randomized controlled trials, these are not always replicated in routine practice, suggesting that training interventions are required to fill the research-practice gap. This study investigated the outcomes of a therapist training programme on treating PTSD with trauma-focused cognitive behavioural therapy (TF-CBT). Twenty therapists from ten IAPT services participated in the training, which consisted of workshops, webinars and consultation sessions over a 6-month period. Feedback indicated that participants found the training highly acceptable. PTSD knowledge and self- and supervisor-rated competence on TF-CBT measures improved following the training and improvements were maintained a year later. Client outcomes on a PTSD measure improved following the training. Participants reported attempts to disseminate learning from the course back to their teams. The findings indicate that the training programme was successful in improving TF-CBT knowledge, skills and outcomes for IAPT therapists. Tentative support for training 'trauma experts' within IAPT services was found, although institutional constraints and staff turnover may limit the sustainability of the model.

  10. Employers’ Perception on Internship Programme

    Directory of Open Access Journals (Sweden)

    Mohaidin Nur Jannah

    2017-01-01

    Full Text Available Internship program is compulsory for Bachelor in Accounting (BIA students in University Kuala Lumpur (UniKL. We believed internship program is useful to facilitate students learning opportunities outside classroom. These experiences provide the opportunity to apply classroom theory into real working environment thus enhancing students’ academic and career goals. Constructive comments from supervisor will give us indicator that we must prepare the students with all aspects of accounting wide knowledge. Employer’s feedback is important in preparing the students for the industry by developing a better programme structure and subjects offered. It is indirectly improves the lecturers’ teaching methods and skills. Therefore, this paper explores the employers’ perception towards internship programme for accounting students in Universiti Kuala Lumpur. Data was collected from employer’s feedback form using five point-likert scales distributed to employers of the participating companies from Semester January 2013 to Semester January 2015. The evaluation form is used to evaluate the students’ performance throughout their 6 months internship period. The statistical results found that student’s score is positively associated with employer’s feedback. The results also indicate that the employers’ perception is important for the students in preparing themselves for the industry and for the university in developing proper programme structure.

  11. 16 CFR 1115.21 - Compulsory remedial actions.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Compulsory remedial actions. 1115.21 Section 1115.21 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS... Proceedings (16 CFR part 1025). (b) Injunctive relief. The Commission may apply to a U.S. district court in...

  12. Initial community perspectives on the Health Service Extension Programme in Welkait, Ethiopia

    Directory of Open Access Journals (Sweden)

    McAuliffe Eilish

    2007-08-01

    Full Text Available Abstract Background The Health Service Extension Programme (HSEP is an innovative approach to addressing the shortfall in health human resources in Ethiopia. It has developed a new cadre of Health Extension Workers (HEWs, who are charged with providing the health and hygiene promotion and some treatment services, which together constitute the bedrock of Ethiopia's community health system. Methods This study seeks to explore the experience of the HSEP from the perspective of the community who received the service. A random sample of 60 female heads-of-household in a remote area of Tigray participated in a structured interview survey. Results Although Health Extension Workers (HEWs had visited them less frequently than planned, participants generally found the programme to be helpful. Despite this, their basic health knowledge was still quite poor regarding the major communicable diseases and their vectors. Participants felt the new HESP represented an improvement on previous health provision. HEWs were preferred over Traditional Birth Attendants for assistance with labour Conclusion While the introduction of HEWs has been a positive experience for women living at the study site, the frequency of visits, extent of effectively imparted health knowledge and affects of HEWs on other health providers needs to be further explored.

  13. Implementation of the Preventive Radiation Protection Act; here: Regulation governing ambient radioactivity monitoring subject to the Preventive Radiation Protection Act. Pt. 1. Measuring programme for specified normal operation monitoring (routine measuring programme). BMU circular letter dated 28.07.94 -RS II 6 - 15 603/3

    International Nuclear Information System (INIS)

    1994-01-01

    The regulation addresses the competent Federal and Land authorities responsible for implementation of the Preventive Radiation Protection Act, and the competent highest Land authorities. The regulation defines the scope of obligatory measurement of ambient radioactivity during normal operation of installations and determines the measuring techniques to be applied for this purpose. The programme determines compulsory instructions to be observed in the performance of the routine measuring programme by the competent Federal and Land authorities and thus ensures nationwide application of standard procedures

  14. The CORE Service Improvement Programme for mental health crisis resolution teams: study protocol for a cluster-randomised controlled trial.

    Science.gov (United States)

    Lloyd-Evans, Brynmor; Fullarton, Kate; Lamb, Danielle; Johnston, Elaine; Onyett, Steve; Osborn, David; Ambler, Gareth; Marston, Louise; Hunter, Rachael; Mason, Oliver; Henderson, Claire; Goater, Nicky; Sullivan, Sarah A; Kelly, Kathleen; Gray, Richard; Nolan, Fiona; Pilling, Stephen; Bond, Gary; Johnson, Sonia

    2016-03-22

    As an alternative to hospital admission, crisis resolution teams (CRTs) provide intensive home treatment to people experiencing mental health crises. Trial evidence supports the effectiveness of the CRT model, but research suggests that the anticipated reductions in inpatient admissions and increased user satisfaction with acute care have been less than hoped for following the scaling up of CRTs nationally in England, as mandated by the National Health Service (NHS) Plan in 2000. The organisation and service delivery of the CRTs vary substantially. This may reflect the lack of a fully specified CRT model and the resources to enhance team model fidelity and to improve service quality. We will evaluate the impact of a CRT service improvement programme over a 1-year period on the service users' experiences of care, service use, staff well-being, and team model fidelity. Twenty-five CRTs from eight NHS Trusts across England will be recruited to this cluster-randomised trial: 15 CRTs will be randomised to receive the service improvement programme over a 1-year period, and ten CRTs will not receive the programme. Data will be collected from 15 service users and all clinical staff from each participating CRT at baseline and at the end of the intervention. Service use data will be collected from the services' electronic records systems for two 6-month periods: the period preceding and the period during months 7-12 of the intervention. The study's primary outcome is service user satisfaction with CRT care, measured using a client satisfaction questionnaire. Secondary outcomes include the following: perceived continuity of care, hospital admission rates and bed use, rates of readmission to acute care following CRT support, staff morale, job satisfaction, and general health. The adherence of the services to a model of best practice will be assessed at baseline and follow-up. Outcomes will be compared between the intervention and control teams, adjusting for baseline

  15. Linked symptom monitoring and depression treatment programmes for specialist cancer services: protocol for a mixed-methods implementation study

    Science.gov (United States)

    Walker, Jane; Burke, Katy; Sevdalis, Nick; Richardson, Alison; Mulick, Amy; Frost, Chris; Sharpe, Michael

    2017-01-01

    Introduction There is growing awareness that cancer services need to address patients’ well-being as well as treating their cancer. We developed systematic approaches to (1) monitoring patients’ symptoms including depression using a ‘Symptom Monitoring Service’ and (2) providing treatment for those with major depression using a programme called ‘Depression Care for People with Cancer’. Used together, these two programmes were found to be highly effective and cost-effective in clinical trials. The overall aims of this project are to: (1) study the process of introducing these programmes into routine clinical care in a large cancer service, (2) identify the challenges associated with implementation and how these are overcome, (3) determine their effectiveness in a routine non-research setting and (4) describe patients’ and clinicians’ experience of the programmes. Methods and analysis This is a mixed-methods longitudinal implementation study. We will study the process of implementation in three phases (April 2016–December 2018): ‘Pre-implementation’ (setting up of the new programmes), ‘Early Implementation’ (implementation of the programmes in a small number of clinics) and ‘Implementation and Maintenance’ (implementation in the majority of clinics). We will use the following methods of data collection: (1) contemporaneous logs of the implementation process, (2) interviews with healthcare professionals and managers, (3) interviews with patients and (4) routinely collected clinical data. Ethics and dissemination The study has been reviewed by a joint committee of Oxford University Hospitals National Health Service Foundation Trust Research and Development Department and the University of Oxford’s Clinical Trials and Research Governance Department and judged to be service evaluation, not requiring ethics committee approval. The findings of this study will guide the scaling up implementation of the programmes across the UK and will enable

  16. Video quality-of-service for consumer terminals : a novel system for programmable components

    NARCIS (Netherlands)

    Hentschel, C.; Bril, R.J.; Chen, Y.; Braspenning, R.A.C.; Lan, T-H.

    2003-01-01

    Future consumer terminals will be more and more based on programmable platforms instead of only dedicated hardware. Novel scalable video algorithm (SVA) software modules trade off resource usage against quality of the output signal. SVAs together with a strategy manager and a quality-of-service

  17. Development of Surveillance and In-Service Inspection Programme for Indian Research Reactors Cirus and Dhruva

    International Nuclear Information System (INIS)

    Shukla, D.K.

    2006-01-01

    Many safety requirements for research reactors are quite similar to those of power reactors. For research reactors with a higher hazard potential, the use of safety codes and guides for power reactors is more appropriate. However, there are many important differences between power reactors and research reactors that must be taken into account to ensure that adequate safety margins are available in design and operation of the research reactor. Most research reactors may have small potential for hazard to the public compared to power reactors but may pose a greater potential hazard to the plant operators. The need for greater flexibility in use of research reactors for individual experiments requires a different safety approach. Safety rules for power reactors are required to be substantially modified for application to specific research reactor. Following the intent of the available safety guides for surveillance and In-Service Inspection of Nuclear Power Plants, guidelines were formulated to develop surveillance and In-Service Inspection programme for research reactors Cirus and Dhruva. Based on the specific design of these research reactors, regulatory requirements, the degree of sophistication and experience of the technical organization involved in operating the research reactor, guidelines were evolved for developing and implementing the surveillance and In-Service Inspection programme for research reactors Cirus (40 MWt) and Dhruva (100 MWt) located at Bhabha Atomic Research Centre, Trombay, Mumbai, India. Paper describes the approach adopted for formulation of surveillance and In-service Inspection programme for Dhruva reactor in detail. (author)

  18. Compulsory of Malaysia’s Quality Assessment System in Construction (QLASSIC)

    Science.gov (United States)

    Manap, N.; Goh, YK; Syahrom, N.

    2017-12-01

    Nowadays, the quality in the construction industry has become very important because it contribute to the nation’s economic growth and quality of life of the house occupants. Therefore, CIDB is proposed to enforce the implementation of QLASSIC as the main element of project approval for issuance of Certificate of Fitness (CFO) or Certificate of Compliances (C.C.C) in construction industry of Malaysia. The objectives of this study are to identify the views of contractors toward the compulsory of the QLASSIC and to determine the impacts of the QLASSIC in the construction industry. The methodology used are literature review and the questionnaires. The descriptive statistic like the frequency and percentage were used for describing the respondent background. While the mean distribution analysis was used to analysis the views on the compulsory of QLASSIC and the impacts of the QLASSIC. The result of the study shows that, the views of the respondents toward the compulsory of QLASSIC and the main impacts of the QLASSIC were identified. The significance of this study is it can help contractors to understand the impacts and the important of using QLASSIC.

  19. The role of national consultant services industries to support the first nuclear power plant programme in Indonesia

    International Nuclear Information System (INIS)

    Dharu Dewi; Sahala Lumbanraja; Sriyana

    2007-01-01

    Study has been done which concerning the role of Indonesian National Consultant Services Industries to support the First Nuclear Power Plant (NPP) Programme in Indonesia. NPP programme activities will be success if the studies should be started with good planning. To obtain the optimal results, the opportunity and the role of national consultants should be considered to the localization of NPP Programme to be bigger. Utilizing of national consultants services can be expected to become second opinion which is to play important role in socialization of NPP Programme. The Government and NPP Project Owner's candidate should analysis, plan and implement the Nuclear Power Plant Programme activities, started from identification of the available national consultants, considering the national consults procurement process, definition of scope of works of national consultants activities, carry out the selection of national consultants, evaluation, monitoring and supervision so that the utilizing of national consultants will give benefit more effective, efficient, economic appropriate objectives and good quality. This study to assess the structure and type of national consultants, works package which can be done by national consultants, selection methods of national consultants, constraints of national consultants and enhancing of the role of national consultants to involve and support in the nuclear power plant programme in Indonesia. The research methods are literature study, consultation with resource person and exploring of website/internet. (author)

  20. Experience within international transport and direct rail services in meeting the IAEA requirement for a radiation protection programme(s)

    International Nuclear Information System (INIS)

    Billing, D.

    2003-01-01

    BNFL International Transport and Direct Rail Services have successfully developed appropriate Radiation Protection Programmes for their business. The business supports BNFL's worldwide Nuclear Fuel Services with key customer bases in Europe, Japan and the UK, utilising marine, rail and road modal transports. Experience in this business spans over 4 decades. The preparation of RPP's for each aspect of its operations has been made relatively straight forward in that the key elements within the internationally recognised model RPP (by WNTI) were already in place in BNFL's procedures to satisfy current National UK and International Regulations and supported by Management systems which comply with International Standards for Quality Assurance. (author)

  1. COMPULSORY EDUCATION IN ROMANIA BETWEEN EQUITY AND EFFICIENCY

    Directory of Open Access Journals (Sweden)

    Asandului Laura

    2009-05-01

    Full Text Available The paper aims at investigating the two main characteristics of a modern system of compulsory education with a focus on Romania. It assumes that the equity of the education sector and the efficiency of resource use are strongly correlated, both supporting

  2. A multidisciplinary TBI inpatient rehabilitation programme for active duty service members as part of a randomized clinical trial.

    Science.gov (United States)

    Braverman, S E; Spector, J; Warden, D L; Wilson, B C; Ellis, T E; Bamdad, M J; Salazar, A M

    1999-06-01

    To design and describe an effective rehabilitation programme for use in an ongoing trial on the efficacy of multidisciplinary brain injury rehabilitation for moderately head injury military service members. Treatment arm of a randomized control trial. US military tertiary care hospital inpatient rehabilitation programme. Sixty seven active duty military with moderate to severe TBI who were randomized to the treatment arm of the protocol. Eight week rehabilitation programme combining group and individual therapies with an inpatient milieu-oriented neuropsychological focus. Group therapies included fitness, planning and organization, cognitive skills, work skills, medication, and milieu groups, and community re-entry outings. Individual therapy included neuropsychology, work therapy, occupational therapy, and speech and language pathology. Successful return to work and return to duty. At 1 year follow-up, 64 patients returned to work (96%) and 66% (44/67) returned to duty. The described rehabilitation programme demonstrates one successful effort to rehabilitate active duty military service members with TBI who have the potential to return to duty.

  3. Evaluation of the In-Service Education and Training Programme for Kuwait Army Instructors

    Science.gov (United States)

    Al-Mutawa, Najat; Al-Furaih, Suad

    2005-01-01

    This study evaluates the In-Service Education and Training (INSET) programme organised for Kuwait Army instructors. The focus is on their perceptual gain in related topics and skills, as they attended 10 courses at the College of Education--Kuwait University. Pre- and post-assessments involved 20 trainees. The analysis indicates significant…

  4. The importance of service-users' perspectives: A systematic review of qualitative evidence reveals overlooked critical features of weight management programmes.

    Science.gov (United States)

    Sutcliffe, Katy; Melendez-Torres, G J; Burchett, Helen E D; Richardson, Michelle; Rees, Rebecca; Thomas, James

    2018-03-14

    Extensive research effort shows that weight management programmes (WMPs) targeting both diet and exercise are broadly effective. However, the critical features of WMPs remain unclear. To develop a deeper understanding of WMPs critical features, we undertook a systematic review of qualitative evidence. We sought to understand from a service-user perspective how programmes are experienced, and may be effective, on the ground. We identified qualitative studies from existing reviews and updated the searches of one review. We included UK studies capturing the views of adult WMP users. Thematic analysis was used inductively to code and synthesize the evidence. Service users were emphatic that supportive relationships, with service providers or WMP peers, are the most critical aspect of WMPs. Supportive relationships were described as providing an extrinsic motivator or "hook" which helped to overcome barriers such as scepticism about dietary advice or a lack confidence to engage in physical activity. The evidence revealed that service-users' understandings of the critical features of WMPs differ from the focus of health promotion guidance or descriptions of evaluated programmes which largely emphasize educational or goal setting aspects of WMPs. Existing programme guidance may not therefore fully address the needs of service users. The study illustrates that the perspectives of service users can reveal unanticipated intervention mechanisms or underemphasized critical features and underscores the value of a holistic understanding about "what happens" in complex psychosocial interventions such as WMPs. © 2017 The Authors Health Expectations published by John Wiley & Sons Ltd.

  5. Perceptions of registered nurses regarding factors influencing service delivery in expanding programmes in a primary healthcare setting

    Directory of Open Access Journals (Sweden)

    Nnoi. A. Xaba

    2012-11-01

    Full Text Available The aim of this study was to explore and describe the perceptions of registered nurses regarding factors influencing service delivery regarding expansion programmes in a primary healthcare setting, using a qualitative approach. The registered nurses, who have been working in the clinics for more than two years and have been exposed to the expansion programmes there, were purposively sampled. Two focus group interviews were conducted in a neutral place and the data collected by the researcher Nnoi A. Xaba (N.A.X.. Data were analysed by the researcher and an independent co-coder using the Tesch method. Categories, subcategories and themes were identified; those that formed the basis of discussion were disabling factors, enabling factors, client-related factors, service-related factors and solutions to problems. It is recommended that integration of programmes and coordination be done at a provincial level and planned together with the training centres in order to alleviate problems in service delivery. Training on expansion programmes in the form of in-service education should be carried out continually in the region.Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met betrekking tot die faktore wat dienslewering van die uitbreidingsprogramme in ‘n primêre gesondheid opset beinvloed; te eksploreer en te beskryf. ‘n Kwalitatiewe benadering is gevolg in die iutvoering van die studie. ‘n Doelgerigte steekproef is uitgevoer vanuit geregistreerde verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi A. Xaba (N.A.X. in ‘n neutrale opset uitgevoer. Data is deur die navorser en ʼn onafhanklike kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende faktore, bydraende faktore

  6. The Cognitive, Social and Emotional Processes of Teacher Identity Construction in a Pre-Service Teacher Education Programme

    Science.gov (United States)

    Yuan, Rui; Lee, Icy

    2015-01-01

    This research investigates how three Government-funded Normal Students constructed and reconstructed their identities in a pre-service teacher education programme in China. Drawing upon data from interviews, field observation and the pre-service teachers' written reflections, the study explores the cognitive, social and emotional processes of…

  7. Supporting Pre-Service Teachers' Technology-Enabled Learning Design Thinking through Whole of Programme Transformation

    Science.gov (United States)

    Bower, Matt; Highfield, Kate; Furney, Pam; Mowbray, Lee

    2013-01-01

    This paper explains a development and evaluation project aimed at transforming two pre-service teacher education programmes at Macquarie University to more effectively cultivate students' technology-enabled learning design thinking. The process of transformation was based upon an explicit and sustained focus on developing university academics'…

  8. Compulsory Education: An Idea Whose Time Has Passed.

    Science.gov (United States)

    Sipher, Roger

    1978-01-01

    The author discusses some changes that occurred in American education from the late 1950s through the early 1970s, why these changes failed to improved the quality of education, the effect of compulsory attendance laws on educational deterioration, and what abolishing mandatory attendance would do to develop the learning environment. (RK)

  9. Mobile phone short message service messaging for behaviour modification in a community-based weight control programme in Korea.

    Science.gov (United States)

    Joo, Nam-Seok; Kim, Bom-Taeck

    2007-01-01

    We conducted a community-based anti-obesity programme using mobile phone short message service (SMS) messaging. A total of 927 participants were recruited and visited a public health centre for initial assessment. Mobile phones were used to deliver short messages about diet, exercise and behaviour modification once a week. After a 12-week anti-obesity programme they visited the public health centre again. Four hundred and thirty-three subjects (47%) successfully completed their weight control programme. There were mean reductions of weight, waist circumference and body mass index of 1.6 kg (P behaviour modification in weight control and anti-obesity health education programmes when promoted by community health centres.

  10. Mental health law: compulsory treatment in a general medical setting.

    Science.gov (United States)

    Linford, Steven

    2005-10-01

    Compulsory treatment of severe mental disorder can seem complicated even to psychiatrists. This article attempts to explain the current legal framework as it applies in common clinical situations in a general medical context.

  11. Pros and Cons: Compulsory 12 year education reform in Turkey

    African Journals Online (AJOL)

    By CEYLAN

    2016-05-28

    Öztürk, 2005). ... compulsory, and education following primary school (middle school, high school and university) was ...... initially very popular in the mass media in 2012, ... in Turkey: opinions and concerns of elementary.

  12. Compulsory Book Reading at School and within Leisure

    Science.gov (United States)

    Pavlovic, Slavica

    2015-01-01

    This paper deals with attitudes of secondary school pupils towards compulsory book reading at school, being the integral part of the subject Croat language and literature teaching subject, and its possible impact on their book (not-)reading in their leisure time. It is based on the research carried out through five-point Likert-type scale in…

  13. English Language Proficiency Tests and Academic Achievement: A Study on the Malaysian University English Test as a Predictor of Technical Programme Undergraduates Academic Achievement

    Science.gov (United States)

    Rahmat, Nurhazlini; Min, Lau Sing; Sungif, Nur Atiqah Md.; Yusup, Farah Nabillah Mior

    2015-01-01

    In the Malaysian education system, English has always played an important role. In acknowledging its importance, Malaysian University English Test (MUET) has been introduced to enable continued emphasis on this role. MUET has been made compulsory for those who wish to pursue a first degree programme in local universities. This study aims to…

  14. Reframing less conventional speech to disrupt conventions of "compulsory fluency": A conversation analysis approach

    Directory of Open Access Journals (Sweden)

    Camille Duque

    2018-05-01

    Full Text Available Our purpose is to illuminate compliances with, and resistances to, what we are calling "compulsory fluency" which we define as conventions for what constitutes competent speech. We achieve our purpose through a study of day-to-day communication between a woman with less conventional speech and her support providing family members and friends. Drawing from McRuer's (2006 compulsory ablebodiedness and Kafer's (2013 compulsory able-mindedness, we use "compulsory fluency" to refer to a form of articulation that is standardized and idealized and imposed on all speakers including those whose speech is less conventional. We see compulsory fluency as central to North American conceptions of personhood which are tied to individual ability to speak for one's self (Brueggemann, 2005. In this paper, we trace some North American principles for linguistic competence to outline widely held ideals of receptive and expressive language use, namely, conventions for how language should be understood and expressed. Using Critical Disability Studies (Goodley, 2013; McRuer, 2006 together with a feminist framework of relational autonomy (Nedelsky, 1989, our goal is to focus on experiences of people with less conventional speech and draw attention to power in communication as it flows in idiosyncratic and intersubjective fashion (Mackenzie & Stoljar, 2000; Westlund, 2009. In other words, we use a critical disability and feminist framing to call attention to less conventional forms of communication competence and, in this process, we challenge assumptions about what constitutes competent speech. As part of a larger qualitative study, we conduct a conversation analysis informed by Rapley and Antaki (1996 to examine day-to-day verbal, vocal and non-verbal communications of a young woman who self identifies as "having autism" - pseudonym Addison - in interaction with her support-providing family members and friends. We illustrate a multitude of Addison's compliances with

  15. Compulsory patent licensing and local drug manufacturing capacity in Africa

    Science.gov (United States)

    2014-01-01

    Abstract Africa has the highest disease burden in the world and continues to depend on pharmaceutical imports to meet public health needs. As Asian manufacturers of generic medicines begin to operate under a more protectionist intellectual property regime, their ability to manufacture medicines at prices that are affordable to poorer countries is becoming more circumscribed. The Doha Declaration on the TRIPS Agreement and Public Health gives member states of the World Trade Organization (WTO) the right to adopt legislation permitting the use of patented material without authorization by the patent holder, a provision known as “compulsory licensing”. For African countries to take full advantage of compulsory licensing they must develop substantial local manufacturing capacity. Because building manufacturing capacity in each African country is daunting and almost illusory, an African free trade area should be developed to serve as a platform not only for the free movement of goods made pursuant to compulsory licences, but also for an economic or financial collaboration towards the development of strong pharmaceutical manufacturing capacity in the continent. Most countries in Africa are in the United Nations list of least developed countries, and this allows them, under WTO law, to refuse to grant patents for pharmaceuticals until 2021. Thus, there is a compelling need for African countries to collaborate to build strong pharmaceutical manufacturing capacity in the continent now, while the current flexibilities in international intellectual property law offer considerable benefits. PMID:24700981

  16. Effects of 8Ps of Services Marketing on Student Selection of Self-Financing Sub-Degree Programmes in Hong Kong

    Science.gov (United States)

    Lau, Melissa May Yee

    2016-01-01

    Purpose: The purpose of this paper is to investigate how the effects of 8Ps of services marketing affect students' selection of self-financing sub-degree programmes in Hong Kong. The factors that affect students' selection of self-financing sub-degree programmes have not been studied in higher education market of Hong Kong. This research is to…

  17. The impact of compulsory drug detention exposure on the avoidance of healthcare among injection drug users in Thailand.

    Science.gov (United States)

    Kerr, Thomas; Hayashi, Kanna; Ti, Lianping; Kaplan, Karyn; Suwannawong, Paisan; Wood, Evan

    2014-01-01

    Although Thailand has relied on the use of compulsory drug detention centres as a strategy to try to address problematic drug use, little is known about the effects of exposure to these centres on people who inject drugs (IDU). Therefore, we undertook this study to explore whether exposure to compulsory drug detention was associated with avoiding healthcare among Thai IDU. Using Poisson regression analyses, we examined the relationship between compulsory drug detention exposure and avoiding healthcare among participants in the Mitsampan Community Research Project based in Bangkok. 435 IDU participated in this study, including 111 (25.5%) participants who reported avoiding healthcare. In multivariate analyses, avoiding healthcare was positively associated with exposure to compulsory drug detention (adjusted prevalence ratio [APR]=1.60; 95% confidence interval [CI]: 1.16-2.21), having been refused healthcare (APR=3.46; 95% CI: 2.61-4.60), and experiencing shame associated with one's drug use (APR=1.93; 95% CI: 1.21-3.09). Exposure to compulsory drug detention was associated with avoiding healthcare among Thai IDU, suggesting that this system of detention may be contributing to the burden of preventable morbidity among IDU in this setting. Although further research is needed to confirm these findings, the results of this study reinforce previous calls to replace the system of compulsory drug detention with evidence-based public health interventions for IDU. Copyright © 2013 Elsevier B.V. All rights reserved.

  18. Constitutional Mandate for Free and Compulsory Education: New Light on the Intention of the "Founding Fathers"

    Science.gov (United States)

    Juneja, Nalini

    2015-01-01

    The original constitutional provision for free and compulsory education, granted under Article 45 stated that it was to be available for "all children until they complete the age of fourteen years", but it did not specify the lower age limit nor the stage of education (whether elementary or primary) that would be free and compulsory.…

  19. Interplay between air passengers' service quality, satisfaction, loyalty and loyalty programmes in South African owned airlines

    OpenAIRE

    Mantey, Nicholas O.; Naidoo, Vannie

    2017-01-01

    Orientation: Delivering service quality is crucial for the continuous operation and sustainability of South African owned airlines. The term ‘South African owned airlines’ refers to six South African owned registered airlines, and is used for purpose of anonymity and confidentiality. Research purpose: The main aim of this study was to examine the interplay between service quality delivery, satisfaction, loyalty programmes and passengers’ loyalty to South African owned airlines. Motivati...

  20. Private Property Rights and Compulsory Acquisition Process in Nigeria: the Past, Present and Future

    Directory of Open Access Journals (Sweden)

    Akintunde OTUBU

    2012-11-01

    Full Text Available Objectives: A property right is the exclusive authority to determine how a resource is used, whether that resource is owned by government or by individuals. In the context of land, it is the authority of the land owner to determine its use or otherwise. On the other hand, compulsory acquisition is the process by which government obtain land from private owners for development purposes in the best interest of the community. These diametrically opposed concepts of property rights and compulsory acquisition is reconciled with the payment of compensation for the extinguishment of private property rights. Implications: In Nigeria, these two concepts have a history of mutual conflicts, resulting in congruous resolutions most of the time, until the introduction of the Land Use Act 1978. With the coming of the Act, the pendulum has tilted in favors of compulsory acquisition to the detriment of private property rights; as compensation fails to assuage the loss occasioned by expropriation. Value: The paper explored the dichotomy between private property rights and compulsory acquisition in Nigeria in the last 50 years and submitted that the process under the Land Use Act changed the equilibrium that existed between these two concepts and produced a skewed and unfavorable result to the detriment of private property rights and National economy. It finally proposed a new equitable arrangement to the quagmire.

  1. Compulsory treatment of 50 alcoholic drunken drivers | Ben-Aire ...

    African Journals Online (AJOL)

    Fifty alcoholic drunken drivers receiving treatment as part of a suspended sentence were studied to assess the efficacy of compulsory treatment. Twenty-six showed improvement in drinking behaviour, 12 did not co-operate and were referred back to court, 7 were re-arrested on further charges of drunken driving and 4 were ...

  2. How to Use Technology Effectively in Post-Compulsory Education

    Science.gov (United States)

    Clarke, Alan

    2011-01-01

    The use of technology within the lifelong learning sector brings many benefits to learners, teachers and managers. Aimed at trainee and practising teachers, this book contains clear, practical guidance on how to use technology and e-learning effectively to enhance all aspects of teaching and learning in the post-compulsory sector. Alan Clarke…

  3. Exploring Service Logic in ESL

    Science.gov (United States)

    Walker, John

    2013-01-01

    ESL is both a professional educational service and, particularly in post-compulsory contexts, a commercial activity. The effective management of ESL programs can secure quality outcomes for practitioners and students. Nevertheless, writings on ESL management do not figure prominently in the literature. In particular, the association between…

  4. Delivery of antiretroviral treatment services in India: Estimated costs incurred under the National AIDS Control Programme.

    Science.gov (United States)

    Agarwal, Reshu; Rewari, Bharat Bhushan; Shastri, Suresh; Nagaraja, Sharath Burugina; Rathore, Abhilakh Singh

    2017-04-01

    Competing domestic health priorities and shrinking financial support from external agencies necessitates that India's National AIDS Control Programme (NACP) brings in cost efficiencies to sustain the programme. In addition, current plans to expand the criteria for eligibility for antiretroviral therapy (ART) in India will have significant financial implications in the near future. ART centres in India provide comprehensive services to people living with HIV (PLHIV): those fulfilling national eligibility criteria and receiving ART and those on pre-ART care, i.e. not on ART. ART centres are financially supported (i) directly by the NACP; and (ii) indirectly by general health systems. This study was conducted to determine (i) the cost incurred per patient per year of pre-ART and ART services at ART centres; and (ii) the proportion of this cost incurred by the NACP and by general health systems. The study used national data from April 2013 to March 2014, on ART costs and non-ART costs (human resources, laboratory tests, training, prophylaxis and management of opportunistic infections, hospitalization, operational, and programme management). Data were extracted from procurement records and reports, statements of expenditure at national and state level, records and reports from ART centres, databases of the National AIDS Control Organisation, and reports on use of antiretroviral drugs. The analysis estimates the cost for ART services as US$ 133.89 (?8032) per patient per year, of which 66% (US$ 88.66, ?5320) is for antiretroviral drugs and 34% (US$ 45.23, ?2712) is for non-ART recurrent expenditure, while the cost for pre-ART care is US$ 33.05 (?1983) per patient per year. The low costs incurred for patients in ART and pre-ART care services can be attributed mainly to the low costs of generic drugs. However, further integration with general health systems may facilitate additional cost saving, such as in human resources.

  5. Designing the Expanded Programme on Immunisation (EPI) as a service: Prioritising patients over administrative logic

    DEFF Research Database (Denmark)

    McKnight, J.; Holt, D. B.

    2014-01-01

    -the-ground problems that mothers face in trying to vaccinate their children, while instead prioritising administrative processes. Our ethnographic analysis of 83 mothers who had not vaccinated their children reveals key barriers to vaccination from a 'customer' perspective. While mothers value vaccination......Expanded Programme on Immunisation (EPI) vaccination rates remain well below herd immunity in regions of many countries despite huge international resources devoted to both financing and access. We draw upon service marketing theory, organisational sociology, development anthropology and cultural...... specific service problems from the mother's perspective and points towards simple service innovations that could improve vaccination rates in regions that have poor uptake....

  6. Should Undergraduate Lectures be Compulsory? The Views of Dental and Medical Students from a UK University

    Directory of Open Access Journals (Sweden)

    Alaa Daud

    2017-03-01

    Full Text Available Formal lectures have been a traditional part of medical and dental education, but there is debate as to their compulsory status. This study was designed to explore dental and medical students’ views on compulsory lectures and the use of Video-Recorded Lectures (VRL. A cross-sectional study of University of Bristol students in Years 2 to 4 was conducted using an online questionnaire. The majority of both dental (76% and medical (66% students felt lectures should be non-compulsory. The most common learning resources used by both dental and medical students were live lectures, lecture handouts and VRL. The majority of both dental (84% and medical (88% students used VRL. Most students attended lectures all of the time both before and after the introduction of VRL, even though most dental and medical students believe lectures should be non-compulsory. VRL is a popular learning resource. These findings tie-in with General Dental Council and General Medical Council recommendations that encourage self-directed learning. Dental and Medical schools should offer a range of learning resources and make use of current technology, including the use of VRL.

  7. Establishing a compulsory drug treatment prison: Therapeutic policy, principles, and practices in addressing offender rights and rehabilitation.

    Science.gov (United States)

    Birgden, Astrid; Grant, Luke

    2010-01-01

    A Compulsory Drug Treatment Correctional Center (CDTCC) was established in Australia in 2006 for repeat drug-related male offenders. Compulsory treatment law is inconsistent with a therapeutic jurisprudence approach. Despite the compulsory law, a normative offender rehabilitation framework has been established based on offender moral rights. Within moral rights, the offender rehabilitation framework addresses the core values of freedom (supporting autonomous decision-making) and well-being (supporting support physical, social, and psychological needs). Moral rights are underpinned by a theory or principle which, in this instance, is a humane approach to offender rehabilitation. While a law that permits offenders to choose drug treatment and rehabilitation is preferable, the article discusses the establishment of a prison based on therapeutic policy, principles, and practices that respond to participants as both rights-violators and rights-holders. The opportunity for accelerated community access and a therapeutic alliance with staff has resulted in offenders actively seeking to be ordered into compulsory drug treatment and rehabilitation. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

  8. Pre- and post-intervention assessment of a PMTCT-programme ...

    African Journals Online (AJOL)

    PMTCT) services following implementation of programme-strengthening activities in a ... Keywords: antenatal care, health service delivery, HIV/AIDS, maternal health services, postnatal care, programme evaluation, quantitative research, women

  9. Institutional dimensions of Payments for Ecosystem Services. An analysis of Mexico's carbon forestry programme

    International Nuclear Information System (INIS)

    Corbera, Esteve; Brown, Katrina; Soberanis, Carmen Gonzalez

    2009-01-01

    This article proposes a multi-dimensional framework for understanding the development and effectiveness of Payments for Ecosystem Services (PES) schemes, framed around the notions of institutional design, performance and interplay. The framework is applied in the context of Mexico's Programme of Payments for Carbon, Biodiversity and Agro-forestry Services (PSA-CABSA), with an emphasis on its carbon component. The analysis shows that PSA-CABSA was promoted by civil society and its rules have been subject to continuous modifications over time. In the case of the carbon component, changes have been due to an original misunderstanding of how carbon projects should be designed, implemented, and carbon traded in actual markets. From a performance point of view, the paper shows that the programme has been well received by rural communities, and carbon payments have contributed to increase household income and to enhance forest management practices and organisational skills. The paper also highlights sources of institutional interplay with local institutions and international climate policy, and it reveals the importance of capacity and scale issues in securing an effective and fair implementation of PES. The conclusion provides some policy recommendations for the future development of PES initiatives in Mexico and elsewhere. (author)

  10. What should be the moral aims of compulsory sex education?

    NARCIS (Netherlands)

    Steutel, J.W.; de Ruyter, D.J.

    2011-01-01

    With reference to the unsuccessful attempt of the Labour Government to make sex education a statutory part of the National Curriculum, this paper argues in favour of making liberal sex education compulsory at all state schools. First, the main characteristics of a liberal sex education are briefly

  11. Self-esteem of adolescents with specific language impairment as they move from compulsory education.

    Science.gov (United States)

    Lindsay, Geoff; Dockrell, Julie; Palikara, Olympia

    2010-01-01

    Children with specific language impairment (SLI) are at risk of low self-esteem during their school years. However, there is a lack of evidence of the self-esteem of young people with a history of SLI during adolescence, as they transfer from compulsory schooling to post-compulsory education, employment or training. To examine the self-esteem of young people with a history of SLI at the transition from compulsory education (16 years) to the first year of post-compulsory education, employment and training (17 years) in England. A total of 54 young people identified as having SLI at 8 years were followed up at 16 and at 17 years. The young people completed two measures of self-esteem: the Self-perception Profile for Adolescents (16 years) and the Self-perception Profile for College Students (17 years). Assessments of language, literacy and non-verbal ability were also conducted. Perceptions of scholastic competence were significantly lower than the norm at 16 years; the female students also had lower self-esteem in the social and physical appearance domains and global self-worth. However, at 17 years there were no significant differences from the norm for these self-esteem domains. There was evidence of stability within self-esteem domains over this period but also an improvement in self-perceptions of scholastic and job competence, physical appearance and athletic competence, and also global self-worth, but not the three social domains. Non-verbal cognitive ability was not correlated with any measures of self-esteem, at 16 or 17 years. Language and literacy ability, especially spelling, were correlated with scholastic and job competence at 16 years but only spelling correlated at 17 years. This study has provided evidence for improvements in self-esteem for young people with SLI after they leave school and enter the world of non-compulsory education (typically at a college), employment and training. The study has also indicated the importance of addressing self

  12. Service Quality and Students' Satisfaction with the Professional Teacher Development Programmes by Distance Mode in a South African University

    Science.gov (United States)

    Oduaran, A. B.

    2011-01-01

    This article reports on the relationship between seven factors that described dimensions of education service quality and overall service quality on one hand, and students' satisfaction with the professional teacher development programmes by distance mode in a South African University on the other. We sought to find out whether students enrolled…

  13. Progressive Retirement Programme

    CERN Document Server

    HR Department

    2009-01-01

    Following the Standing Concertation Committee meeting of 2 December 2008, please note that the Progressive Retirement Programme has been extended by one year, i.e. until 31 March 2010. Further information is available on : https://hr-services.web.cern.ch/hr-services/services-Ben/prp/prp.asp HR Department, tel. 73903

  14. Scaling up family medicine training in Gezira, Sudan - a 2-year in-service master programme using modern information and communication technology: a survey study.

    Science.gov (United States)

    Mohamed, Khalid G; Hunskaar, Steinar; Abdelrahman, Samira Hamid; Malik, Elfatih M

    2014-01-21

    In 2010 the Gezira Family Medicine Project (GFMP) was initiated in Gezira state, Sudan, designed as an in-service training model. The project is a collaboration project between the University of Gezira, which aims to provide a 2-year master's programme in family medicine for practicing doctors, and the Ministry of Health, which facilitates service provision and funds the training programme. This paper presents the programme, the teaching environment, and the first batch of candidates enrolled. In this study a self-administered questionnaire was used to collect baseline data at the start of the project from doctors who joined the programme. A checklist was also used to assess the health centres where they work. A total of 188 out of 207 doctors responded (91%), while data were gathered from all 158 health centres (100%) staffed by the programme candidates. The Gezira model of in-service family medicine training has succeeded in recruiting 207 candidates in its first batch, providing health services in 158 centres, of which 84 had never been served by a doctor before. The curriculum is community oriented. The mean age of doctors was 32.5 years, 57% were males, and 32% were graduates from the University of Gezira. Respondents stated high confidence in practicing some skills such as asthma management and post-abortion uterine evacuation. They were least confident in other skills such as managing depression or inserting an intrauterine device. The majority of health centres was poorly equipped for management of noncommunicable diseases, as only 10% had an electrocardiography machine (ECG), 5% had spirometer, and 1% had a defibrillator. The Gezira model has responded to local health system needs. Use of modern information and communication technology is used to facilitate both health service provision and training. The GFMP represents an example of a large-volume scaling-up programme of family medicine in Africa.

  15. Examination of cultural competence in service providers in an early intervention programme for psychosis in Montreal, Quebec: Perspectives of service users and treatment providers.

    Science.gov (United States)

    Venkataraman, Shruthi; Jordan, Gerald; Pope, Megan A; Iyer, Srividya N

    2018-06-01

    To better understand cultural competence in early intervention for psychosis, we compared service users' and service providers' perceptions of the importance of providers being culturally competent and attentive to aspects of culture. At a Canadian early intervention programme, a validated scale was adapted to assess service user (N = 51) and provider (N = 30) perceptions of service providers' cultural competence and the importance accorded thereto. Analyses of variance revealed that the importance of service providers being culturally competent was rated highest by service providers, followed by visible minority service users, followed by white service users. Providers rated themselves as being more interested in knowing about service users' culture than service users perceived them to be. Service users accorded less import to service providers' cultural competence than providers themselves, owing possibly to varied socialization. A mismatch in users' and providers' views on providers' efforts to know their users' cultures may influence mental healthcare outcomes. © 2017 John Wiley & Sons Australia, Ltd.

  16. Do compulsory secondary science courses change students’ attitude towards studying science?

    DEFF Research Database (Denmark)

    Kristensen, Lærke Elisabeth; Petersen, Morten Rask

    2015-01-01

    recruitment to STEM education has been a compulsory course in the Gymnasium called Natural Science Subject (NSS). This is an interdisciplinary, introductory course with the intention that students shall “ … realize the importance of knowing and understanding natural science thinking” (Authors translation...... science and science careers. In this approach we ended up with the following research question: “Does a compulsory introductory sciences course have an impact on students’ attitude towards studying sciences in secondary school?” In this approach we chose to use parameters as motivation (Deci & Ryan, 2002...... Subject course. The distribution included all levels (K10-K12) and all study lines. Student answers were analyzed using Mann-Whitney U-test using SPSS statistics 22 as analytical tool. Comparisons for this study were made across study lines (natural science vs. human science & social science...

  17. Pelaksanaan Compulsory Licensing Paten Obat-obatan Bidang Farmasi di Indonesia Dikaitkan dengan Doha Declaration On The Trips Agreement And Public Health

    OpenAIRE

    Samariadi, Samariadi

    2016-01-01

    Purpose of this study is firstly to find out implementation of compulsory licensing patent medicines in Indonesia's pharmaceutical field linked Declaration DOHA, secondly to know resistance implementation of compulsory licensing to access drug in Indonesia, thirdly to know efforts should be done in implementation compulsory licensing as to support access public health. Author used legal research methods to get the result. Results of formulation problem, it can be concluded that, firstly imple...

  18. Job coach factors associated with community-based employment service programme outcome measures for people with disabilities--a Taiwan case study.

    Science.gov (United States)

    Yun-Tung, Wang

    2010-01-01

    The aim of this study is to explore whether/which job coach factors were significantly associated with the community-based employment service (CBES) programme outcome measures in Taiwan. This study used the 2003-2005 CBES programme for People with Disabilities Database in Taipei City in Taiwan (n = 3924) to do a secondary data analysis using hierarchical multiple linear regression. This study found that 'occurrences of the services provided by the job coaches' variable was definitely the dominant predictor and explained additional 19.6% and 27.8% of the variances of annual salary and annual working month outcome measures, respectively. In addition, among six composition variables of 'occurrences of the services provided by the job coaches', 'occurrences of follow-up guidance', 'occurrences of intensive guidance', and 'occurrences of consultation before interviews with employer/director of human resources' were more powerful than the other three in predicting outcomes. Job coach factors in this study were significantly correlated with CBES programme outcome measures for people with disabilities in Taiwan after controlling for the socio-demographic variables. It indicates that the more inputs in the people with disabilities made by job coaches equates to better outcomes in this Taiwan case study.

  19. Do the pre-service education programmes for midwives in India prepare confident ‘registered midwives’? A survey from India

    Directory of Open Access Journals (Sweden)

    Bharati Sharma

    2015-12-01

    Full Text Available Objective: The graduates of the diploma and degree programmes of nursing and midwifery in India are considered skilled birth attendants (SBAs. This paper aimed to assess the confidence of final-year students from pre-service education programmes (diploma and bachelor's in selected midwifery skills from the list of midwifery competencies of the International Confederation of Midwives (ICM. Design: A cross-sectional survey was conducted in Gujarat, India, involving 633 final-year students from 25 educational institutions (private or government, randomly selected, stratified by the type of programme (diploma and bachelor's. Students assessed their confidence on a four-point scale, in four midwifery competency domains – antepartum, intrapartum, postpartum, and newborn care. Explorative factor analysis was used to reduce skill statements into separate subscales for each domain. Results: Overall, 25–40% of students scored above the 75th percentile and 38–50% below the 50th percentile of confidence in all subscales for antepartum, intrapartum, postpartum, and newborn care. The majority had not attended the required number of births prescribed by the Indian Nursing Council. Conclusions: The pre-service education offered in the diploma and bachelor's programmes in Gujarat does not prepare confident SBAs, as measured on selected midwifery competencies of the ICM. One of the underlying reasons was less clinical experience during their education. The duration, content, and pedagogy of midwifery education within the integrated programmes need to be reviewed.

  20. Comparative analyses of compulsory school curricula in Denmark and Norway

    DEFF Research Database (Denmark)

    Rasmussen, Jens

    Tuborgvej 164 2400 København NV Denmark jera@dpu.dk The curriculum for the compulsory school is normally seen as a suitable steering and control instrument for handling the national responsibility for the content of education and also as a means to reduction of content complexity. Within the latest years...

  1. Compulsory outpatient treatment can prevent involuntary commitment

    DEFF Research Database (Denmark)

    Hansen, Lene Nørregård; Svensson, Eva Maria Birgitta; Brandt-Christensen, Anne Mette

    2014-01-01

    Compulsory outpatient treatment (co-pt) has been possible in Denmark since 2010. The aim is to secure necessary treatment, reduce involuntary commitment and improve quality of life for patients with a severe psychiatric illness. Co-pt has been brought into use in 33 cases. This case report...... describes a patient with paranoid schizophrenia who several times developed severe psychotic symptoms shortly after discharge due to lack of compliance with treatment. Within one year of co-pt the patient was not admitted to hospital and improved in overall functioning. After terminating co-pt the patient...

  2. Procedural Aspects of Compulsory Licensing Under TRIPS

    DEFF Research Database (Denmark)

    Wested, Jakob; Minssen, Timo

    2017-01-01

    and discussion addressed the framework and context for CL provided by the TRIPS convention. Both the specific requirements enshrined in TRIPS art 31 and the broader objectives and principles enshrined in TRIPS, e.g. transfer and dissemination of technology (art 7), protection of public health (art 8......In 2013, Indian authorities granted a compulsory license to NATCO Pharmaceuticals for a patented pharmaceutical product sold by Bayer. This decision raised several complex issues regarding the grant a CL and their consistency with the principles and objectives of TRIPS. Furthermore, in January 2017...

  3. Information processing style used by Compulsory Secondary Education students

    Directory of Open Access Journals (Sweden)

    Alfredo Campos

    2016-10-01

    Full Text Available Mental images are mental representations of people, objects and situations that are not present and are formed by using the imagination. Many studies have addressed this psychological ability, its typology and its involvement in the academic environment. Along these lines, the aim of our study was to assess the information processing style (verbal, object, spatial scales, and mental rotation that is commonly used by students from different specialties of Compulsory Secondary Education. To that end, two tests: The Mental Rotation Test (MRT and the Object-Spatial Imagery and Verbal Questionnaire (OSIVQ were administered to a sample of 126 Compulsory Secondary Education students. MRT assessed any significant difference in the ability to mentally rotate images depending on gender and specialty. Significant differences were found by specialty, showing that science students had better ability to mentally rotate images than humanities ones. Significant differences were found by gender and specialty in the OSIVQ. Men showed better spatial and verbal processing style than women, and humanities students excelled in object processing (in comparison to science students and in verbal processing (in comparison to science and art students.

  4. A simple method to estimate the episode and programme sensitivity of breast cancer screening programmes.

    Science.gov (United States)

    Zorzi, Manuel; Guzzinati, Stefano; Puliti, Donella; Paci, Eugenio

    2010-01-01

    The estimation of breast cancer screening sensitivity is a major aim in the quality assessment of screening programmes. The proportional incidence method for the estimation of the sensitivity of breast cancer screening programmes is rarely used to estimate the underlying incidence rates. We present a method to estimate episode and programme sensitivity of screening programmes, based solely on cancers detected within screening cycles (excluding breast cancer cases at prevalent screening round) and on the number of incident cases in the total target population (steady state). The assumptions, strengths and limitations of the method are discussed. An example of calculation of episode and programme sensitivities is given, on the basis of the data from the IMPACT study, a large observational study of breast cancer screening programmes in Italy. The programme sensitivity from the fifth year of screening onwards ranged between 41% and 48% of the total number of cases in the target population. At steady state episode sensitivity was 0.70, with a trend across age groups, with lowest values in women aged 50-54 years (0.52) and highest in those 65-69 (0.77). The method is a very serviceable tool for estimating sensitivity in service screening programmes, and the results are comparable with those of other methods of estimation.

  5. Perspectives of rural health and human service practitioners following suicide prevention training programme in Australia: A thematic analysis.

    Science.gov (United States)

    Jones, Martin; Ferguson, Monika; Walsh, Sandra; Martinez, Lee; Marsh, Michael; Cronin, Kathryn; Procter, Nicolas

    2018-05-01

    There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services workers with regard to a suicide prevention training programme in regional (including rural and remote areas) South Australia which included meaningful involvement of a person with lived experience in the development and delivery of the training. In 2015, eight suicide prevention training workshops were conducted with health and human services workers. All 248 participants lived and worked in South Australian regional communities. We interviewed a subsample of 24 participants across eight sites. A thematic analysis of the interviews identified five themes: Coproduction is key, It is okay to ask the question, Caring for my community, I can make a difference and Learning for future training. The overall meta-theme was "Involvement of a person with lived experience in suicide prevention training supports regional communities to look out for people at risk of suicide." This paper highlights the need for suicide prevention training and other workforce development programmes to include lived experience participation as a core component in development and delivery. © 2018 John Wiley & Sons Ltd.

  6. What Should Be the Moral Aims of Compulsory Sex Education?

    Science.gov (United States)

    Steutel, Jan; de Ruyter, Doret J.

    2011-01-01

    With reference to the unsuccessful attempt of the Labour Government to make sex education a statutory part of the National Curriculum, this paper argues in favour of making liberal sex education compulsory at all state schools. First, the main characteristics of a liberal sex education are briefly explained. Promoting the virtue of respect for…

  7. Introduction of Core Based Subjects in the Curriculum of Technical and Vocational Institutions in Ghana: Assessment of Its Effect on Practical Training Sessions

    Science.gov (United States)

    William, Otu

    2015-01-01

    Technical education among other things focuses on training the skill manpower needs of the youth in most countries of which Ghana is no exception. This study looks at Ghana Education Service technical and vocational sector reform programme introduced in 2010 with emphasis on the introduction of compulsory core based subjects and its effect on…

  8. Comparison between Synchronous and Asynchronous Instructional Delivery Method of Training Programme on In-Service Physical Educators' Knowledge

    Science.gov (United States)

    Emmanouilidou, Kyriaki; Derri, Vassiliki; Antoniou, Panagiotis; Kyrgiridis, Pavlos

    2012-01-01

    The purpose of the study was to compare the influences of a training programme's instructional delivery method (synchronous and asynchronous) on Greek in-service physical educators' cognitive understanding on student assessment. Forty nine participants were randomly divided into synchronous, asynchronous, and control group. The experimental groups…

  9. School Socioeconomic Context and Teacher Job Satisfaction in Japanese Compulsory Education

    Science.gov (United States)

    Matsuoka, Ryoji

    2015-01-01

    Sociologists in education have pointed out disparities associated with socioeconomic status (SES) in the Japanese compulsory education system that was once regarded as egalitarian. In addition to disparities between individual students, prior studies have empirically shown SES-based disparities among schools on important indicators such as…

  10. Leadership in Post-Compulsory Education: Inspiring Leaders of the Future

    Science.gov (United States)

    Jameson, Jill

    2005-01-01

    Based around case studies of current leaders in post-compulsory education, this book explores a number of leadership models and styles in order to provide inspiration and guidance for the next wave of potential leaders. After an introduction, the book is divided into four parts and 18 chapters. Part One contains: (1) Leadership in Post-Compulsory…

  11. Compulsory Attendance Policies: About Age or Intervention? SREB Focus Report

    Science.gov (United States)

    Grove, Jeffrey

    2014-01-01

    Over the past decade, SREB state policy-makers have focused on actions to reduce dropout rates and increase high school graduation rates. Some policy-makers have suggested that raising their state's compulsory attendance age (often called the dropout age) to require students to stay in school until age 17 or 18 is an important step. However,…

  12. The five-year costs and benefits of extended psychological and psychiatric assessment versus standard intake interview for women with comorbid substance use disorders treated in compulsory care in Sweden.

    Science.gov (United States)

    Olsson, Tina M; Fridell, Mats

    2018-01-30

    Women with comorbid substance use disorders are an extremely vulnerable group having an increased relative risk of negative outcomes such as incarceration, morbidity and mortality. In Sweden, women with comorbid substance use disorders may be placed in compulsory care for substance abuse treatment. Clinical intake assessment procedures are a distinct aspect of clinical practice and are a foundation upon which client motivation and continued treatment occurs. The current study is a naturalistic quasi-experiment and aims to assess the five-year costs and benefits of a standard intake interview versus an extended psychological and psychiatric assessment for a group of chronic substance abusing women placed in compulsory care in Sweden between 1997 and 2000. Official register data on criminal activity, healthcare use, compulsory care stays and other services was retrieved and all resources used by study participants from date of index care episode was valued. In addition, the cost of providing the intake assessment was estimated. Results show that the extended assessment resulted in higher net costs over five years of between 256,000 and 557,000 SEK per person for women placed in care via the Law on Compulsory Care for Substance Abusers (LVM). Higher assessment costs made up a portion of this cost. The majority of this cost (47-57%) falls on the local municipality (social welfare) and 11.6-13.7% falls on the individual patient. Solid evidence supporting the clinical utility or incremental validity of assessment for improving treatment outcomes in this setting was not confirmed.

  13. Community Development Workers Programme: Mentoring for Social Transformation in the Public Service in Post-Apartheid South Africa

    Science.gov (United States)

    Geber, Hilary; Motlhake, Bona

    2008-01-01

    The new public sector community development workers (CDWs) programme was established in 2004 following ineffective service delivery through chronic under-spending on annual budgets in post-apartheid South Africa. CDWs receive training in learnerships within the National Skills Development Strategy to ensure access to and spending of local…

  14. A Compulsory Bioethics Module for a Large Final Year Undergraduate Class

    Science.gov (United States)

    Pearce, Roger S.

    2009-01-01

    The article describes a compulsory bioethics module delivered to [approximately] 120 biology students in their final year. The main intended learning outcome is that students should be able to analyse and reason about bioethical issues. Interactive lectures explain and illustrate bioethics. Underlying principles and example issues are used to…

  15. Analytical quality control service programme, intercomparison runs, certified reference materials, reference materials 1987-88

    International Nuclear Information System (INIS)

    1986-12-01

    The purpose of the Analytical Quality Control Services (AQCS) programme provided by the IAEA, is to assist laboratories engaged in the analysis of nuclear, environmental, biological, and materials of marine origin for radionuclide, major, minor and trace elements, as well as stable isotopes using atomic and nuclear analytical techniques, to check the quality of their work. The tables give details of the intercomparison samples and reference materials distributed by the IAEA in the period 1987 to 1988. 2 tabs

  16. Impact of a Graduate Entry Programme on a medical school library service.

    Science.gov (United States)

    Martin, Sam

    2003-03-01

    The aim of this study was to compare the use of library facilities by first year undergraduate medical students and Graduate Entry Programme students (GEP). More specifically it tried to determine which library services (if any) were more frequently used by GEP so that this could be taken into account in future Information Services planning. A questionnaire on the use of Library and Information Services was posted to all first year GEP students and undergraduates on the 5-year course. In addition, user statistics of library entry and borrowing were collated from gate readings and the library Unicorn management system. Overall, GEP students were found to make a greater daily/weekly use of library facilities than undergraduates on the 5-year course. The facilities most used by both sets of students were essential texts, e-mail, PCs and study facilities. Computer Aided Learning packages, journals and video facilities were least used. However, on a daily/weekly basis GEP students made 74% more use of journals (P difference in use should be taken into account by LIS providers as there is expected to be an increase in fast-track graduate courses offered by medical schools throughout the UK.

  17. Accessing the SEED genome databases via Web services API: tools for programmers.

    Science.gov (United States)

    Disz, Terry; Akhter, Sajia; Cuevas, Daniel; Olson, Robert; Overbeek, Ross; Vonstein, Veronika; Stevens, Rick; Edwards, Robert A

    2010-06-14

    The SEED integrates many publicly available genome sequences into a single resource. The database contains accurate and up-to-date annotations based on the subsystems concept that leverages clustering between genomes and other clues to accurately and efficiently annotate microbial genomes. The backend is used as the foundation for many genome annotation tools, such as the Rapid Annotation using Subsystems Technology (RAST) server for whole genome annotation, the metagenomics RAST server for random community genome annotations, and the annotation clearinghouse for exchanging annotations from different resources. In addition to a web user interface, the SEED also provides Web services based API for programmatic access to the data in the SEED, allowing the development of third-party tools and mash-ups. The currently exposed Web services encompass over forty different methods for accessing data related to microbial genome annotations. The Web services provide comprehensive access to the database back end, allowing any programmer access to the most consistent and accurate genome annotations available. The Web services are deployed using a platform independent service-oriented approach that allows the user to choose the most suitable programming platform for their application. Example code demonstrate that Web services can be used to access the SEED using common bioinformatics programming languages such as Perl, Python, and Java. We present a novel approach to access the SEED database. Using Web services, a robust API for access to genomics data is provided, without requiring large volume downloads all at once. The API ensures timely access to the most current datasets available, including the new genomes as soon as they come online.

  18. The indirect and direct pathways between physical fitness and academic achievement on commencement in post-compulsory education in a historical cohort of Danish school youth

    DEFF Research Database (Denmark)

    Andersen, Mikkel Porsborg; Starkof, Liis; Sessa, Maurizio

    2017-01-01

    Background: Some studies have found positive associations between physical fitness and academic achievements. Pupils' academic achievements should indicate scholastic abilities to commence a post-compulsory education. However, the effect magnitude of physical fitness and academic achievements...... on commencement in post-compulsory education is unknown. We examined the pathways between physical fitness and academic achievement on pupils' commencement in post-compulsory education. Methods: This historical cohort study followed 530 girls and 554 boys from the Danish municipality of Aalborg in the period 2008.......e., through academic achievement) OR of 1.37 (95% CI: 1.20; 1.57). Thus, 51% (95% CI: 27%; 122%) of the effect of physical fitness on post-compulsory education commencement was mediated through academic achievement. Conclusion: Physical fitness had a positive effect on post-compulsory education commencement...

  19. Disenchantment and Participatory Limits of Compulsory Education: Lessons from Southwest China

    Science.gov (United States)

    Wu, Jinting

    2012-01-01

    Despite the state's unrelenting efforts to enforce compulsory basic education, schooling in rural ethnic China remains an elusive ideal that leads to massive dropout and prepares many only for factory sweatshops. Based on 16 months of ethnographic research, this article examines the disjuncture between the official education policy known as the…

  20. Placement, support, and retention of health professionals: national, cross-sectional findings from medical and dental community service officers in South Africa.

    Science.gov (United States)

    Hatcher, Abigail M; Onah, Michael; Kornik, Saul; Peacocke, Julia; Reid, Stephen

    2014-02-26

    compulsory community service programme appears to be high among those who responded to a 2009 questionnaire. These data offer a starting point for designing programmes and policies that better meet the health needs of the South African population through more appropriate human resource management. An emphasis on professional development and supervision is crucial if South Africa is to build practitioner skills, equitably distribute health professionals, and retain the medical workforce in rural, underserved areas.

  1. Scaling up family medicine training in Gezira, Sudan – a 2-year in-service master programme using modern information and communication technology: a survey study

    Science.gov (United States)

    2014-01-01

    Background In 2010 the Gezira Family Medicine Project (GFMP) was initiated in Gezira state, Sudan, designed as an in-service training model. The project is a collaboration project between the University of Gezira, which aims to provide a 2-year master’s programme in family medicine for practicing doctors, and the Ministry of Health, which facilitates service provision and funds the training programme. This paper presents the programme, the teaching environment, and the first batch of candidates enrolled. Methods In this study a self-administered questionnaire was used to collect baseline data at the start of the project from doctors who joined the programme. A checklist was also used to assess the health centres where they work. A total of 188 out of 207 doctors responded (91%), while data were gathered from all 158 health centres (100%) staffed by the programme candidates. Results The Gezira model of in-service family medicine training has succeeded in recruiting 207 candidates in its first batch, providing health services in 158 centres, of which 84 had never been served by a doctor before. The curriculum is community oriented. The mean age of doctors was 32.5 years, 57% were males, and 32% were graduates from the University of Gezira. Respondents stated high confidence in practicing some skills such as asthma management and post-abortion uterine evacuation. They were least confident in other skills such as managing depression or inserting an intrauterine device. The majority of health centres was poorly equipped for management of noncommunicable diseases, as only 10% had an electrocardiography machine (ECG), 5% had spirometer, and 1% had a defibrillator. Conclusions The Gezira model has responded to local health system needs. Use of modern information and communication technology is used to facilitate both health service provision and training. The GFMP represents an example of a large-volume scaling-up programme of family medicine in Africa. PMID:24443978

  2. Resource needs of an occupational health service to accommodate a hepatitis B vaccination programme.

    Science.gov (United States)

    Jachuck, S J; Jones, C; Nicholls, A; Bartlett, M

    1990-01-01

    The administrative, organizational and clinical commitment of an occupational health department to implement the DHSS recommendation for a hepatitis B vaccination programme for the health care workers in a District General Hospital was reviewed to evaluate the resource implications needed to accommodate the additional workload. The deficiencies observed in the existing DHSS guidance in implementing the plan are described. It is suggested that the Department of Health, while making future recommendations for vaccination, should be more precise in identifying those at risk, in describing the desired titre to be achieved after vaccination, and in describing the follow-up plan for those who accept the vaccination, those who refuse and those who do not seroconvert. The recommendation should describe the commitment of the Health Authorities and must include recommendations for appropriate and adequate resources to support such a programme. Vaccination for 1000 employees at risk required 4000 additional consultations necessitating 16 additional hours of occupational health commitment per week. Eighteen months after initiating the vaccination programme, 677 employees had accepted the vaccine. After receiving 3 vaccines 508 (75 per cent) recipients had protective seroconversion (anti-Hbs greater than 100 I.U.) and a further 61 (9 per cent) converted after the 4th injection, thereby offering protective immunity to 84 per cent of the recipients. During the period 84 (12.4 per cent) were lost to follow-up. Recommendations have been made to accommodate the additional commitment through the vaccination programme to standardize our care and prevent disruption of the existing service.

  3. Childhood maltreatment and motivation for treatment in girls in compulsory residential care

    NARCIS (Netherlands)

    Leenarts, L.E.W.; Hoeve, M.; van de Ven, P.M.; Lodewijks, H.P.B.; Dorelijers, T.A.H.

    2013-01-01

    The first objective of the current study was to examine the relationship between childhood maltreatment, trauma-related symptoms and motivation for treatment in girls in compulsory residential treatment facilities. The second objective was to examine the extent to which various forms of childhood

  4. Enhancing adolescents' motivation for treatment in compulsory residential care: A clinical review

    NARCIS (Netherlands)

    Brauers, Malou; Kroneman, Leoniek; Otten, Rene; Lindauer, Ramon; Popma, Arne

    2016-01-01

    Youths in compulsory residential care show a high prevalence of various mental health problems but often lack motivation to engage in therapeutic treatment. Although the self-determination-theory (SDT) and the transtheoretical model of change (TTM) offer a useful framework for treatment motivation,

  5. [Techniques for nutrition education in particular for maternal and compulsory schools (author's transl)].

    Science.gov (United States)

    Alberti, A F

    1975-01-01

    After an introduction on the various factors involved in food habits of humans, the A. is calling the attention on the importance of nutrition education, examining then some of the programs in use. Already in the maternal school the child can learn nutrition with applicative plays. It is compulsory to teach and follow also the in parents. For the compulsory school the nutrition should be taught as such or integrated in other courses as geography, history, mathematics and science. For adults the deep-seated food habits are making more difficult the educational programs. For successful results in nutrition education is essential that the programs are well planned and carried out from well trained personnel not only in nutritional sciences but also in education, cultural anthropology, psicology and sociology.

  6. "Compulsory Schooling" Despite the Law: How Education Policy Underpins the Widespread Ignorance of the Right to Home Educate in France

    Science.gov (United States)

    Bongrand, Philippe

    2016-01-01

    Everyone in France takes for granted the existence of compulsory school attendance ("école obligatoire") while home education remains very exceptional. Yet school attendance is not, and has never been, legally compulsory in France. How can one explain the fact that the right to home educate is little known and practiced? This article…

  7. The WCO/IAEA joint training programmes for customs services on radioactive material smuggling

    International Nuclear Information System (INIS)

    Saka, E.; Duftschmid, K.

    1998-01-01

    One of the milestones of the WCO Enforcement Programme on Combating nuclear and other radioactive materials smuggling is to raise awareness among Customs services and reinforce their enforcement programmes by providing them training materials and training courses. The International Atomic Energy Agency (IAEA) is recognized as a unique international organization in nuclear field to assist the WCO Secretariat by providing technical input in developing awareness/training materials and conducting training courses. In line with their policies for the effective combating of nuclear and other radioactive materials smuggling, both international organizations have agreed to co-operate by regular attendance each other's technical meetings. This approach was formalized with the signing of Memorandum of Understanding on 13 May 1997. The WCO and IAEA training strategy has been to give priority to the Eastern and Central Europe region and the first joint training course was held in Vienna for Customs Trainers on 2-6 June 1997 and the second course is scheduled for Customs and Police officers of the same region in September 1998. (author)

  8. Promoting Compulsory Education in Rural China: What Are the NPOs Doing?

    Science.gov (United States)

    Zhou, Huiquan

    2012-01-01

    Due to imbalanced social and economic development, education in poverty-stricken rural areas in China is lagging behind that of urban areas. The current study explores the role of the nonprofit organizations (NPOs) involved in rural compulsory education promotion. Results show that the NPOs are providing a variety of programs to promote rural…

  9. Health workforce planning and service expansion during an economic crisis: A case study of the national breast screening programme in Ireland.

    Science.gov (United States)

    McHugh, S M; Tyrrell, E; Johnson, B; Healy, O; Perry, I J; Normand, C

    2015-12-01

    This article aims to estimate the workforce and resource implications of the proposed age extension of the national breast screening programme, under the economic constraints of reduced health budgets and staffing levels in the Irish health system. Using a mixed method design, a purposive sample of 20 participants were interviewed and data were analysed thematically (June-September 2012). Quantitative data (programme-level activity data, screening activity, staffing levels and screening plans) were used to model potential workload and resource requirements. The analysis indicates that over 90% operational efficiency was achieved throughout the first six months of 2012. Accounting for maternity leave (10%) and sick leave (3.5%), 16.1 additional radiographers (whole time equivalent) would be required for the workload created by the age extension of the screening programme, at 90% operational efficiency. The results suggest that service expansion is possible with relatively minimal additional radiography resources if the efficiency of the skill mix and the use of equipment are improved. Investing in the appropriate skill mix should not be limited to clinical groups but should also include administrative staff to manage and support the service. Workload modelling may contribute to improved health workforce planning and service efficiency. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Impact of the application of criteria of internal monitoring in radiological protection programmes in nuclear medicine services

    International Nuclear Information System (INIS)

    Dantas, B.M.; Dantas, A.L.A.; Juliao, L.Q.C.; Lourenco, M.C.; Melo, D.R.

    2005-01-01

    The manipulation of open sources in Nuclear Medicine services involves risks of external exposure and internal contamination. The radiological protection plan of facilities licensed by CNEN - Brazilian Nuclear Energy Commission - must include the evaluation of such risks and propose a programme of individual monitoring to control exposure and ensure the maintenance of conditions of radiation safety. The IAEA - International Atomic Energy Agency - recommendations presented in the Safety Guide RS-G-1.2 suggest that an internal worker monitoring program be implemented where there is a possibility of internal contamination lead to effective dose committed annual values equal to or greater than 1 mSv. This paper presents the application of such criteria to the radionuclides most frequently used in the field of Nuclear Medicine, taking into account the normal conditions of handling and the ranges of activity authorized by CNEN. It is concluded that iodine 131 manipulation for therapeutic purposes is the practice that presented the greatest risk of internal exposure of workers, requiring the adoption of a programme of internal monitoring of Nuclear Medicine services

  11. First test of WTO mechanism for procuring generic medicines under compulsory licence, via Canada's Access to Medicines Regime.

    Science.gov (United States)

    Elliott, Richard

    2007-12-01

    In July 2007, Rwanda became the first nation to initiate use of a procedure under the rules of the World Trade Organization (WTO) that is supposed to let developing countries import lower-cost, generic medicines produced in other countries under compulsory licences. And two months later, based on Rwanda's initiative, Canada's Commissioner of Patents issued the first compulsory licence under this system to permit the production of a patented AIDS drug to that country.

  12. 75 FR 32857 - Adjustment of Royalty Fee for Cable Compulsory License

    Science.gov (United States)

    2010-06-10

    ... LIBRARY OF CONGRESS Copyright Office 37 CFR Part 256 Adjustment of Royalty Fee for Cable Compulsory License CFR Correction In Title 37 of the Code of Federal Regulations, revised as of July 1, 2009, on page 666, in Sec. 256.2, make the following changes: a. In paragraph (b)(2)(i), remove ``$189,800...

  13. The Romance and the Reality between Pre-Service Teachers' Beliefs about the Potential Benefits of a Short-Term Study Abroad Programme and Their Practices

    Science.gov (United States)

    Tam, Angela Choi Fung

    2016-01-01

    This qualitative study aimed to explore Hong Kong pre-service teachers' beliefs about the potential benefits of a short-term study abroad programme and their practices. Pre- and post-programme semi-structured interviews and reflective journals were employed to collect data. The findings suggest that the transformation of beliefs into practices…

  14. Eurados self-sustained programme of intercomparisons for individual monitoring services

    International Nuclear Information System (INIS)

    Grimbergen, T. W. M.; Figel, M.; Romero, A. M.; Stadtmann, H.; McWhan, A. F.

    2011-01-01

    Within EURADOS working group 2, a system for self-sustained intercomparisons for individual monitoring services for external radiation was developed. With the intercomparison results, the participants can show compliance within their quality management system, compare their results with those from other participants and develop plans for improvement of their system. The costs of the exercises are covered by the participants fees. In this programme, the first intercomparison exercise for whole-body dosemeters has been executed in 2008 with 62 participating dosimetry systems from participants across Europe. In general, film systems show the largest deviations, although the results of some participants indicate that it is possible to achieve results with a film system with similar quality as for thermoluminescence dosimetry (TLD) systems. A second intercomparison has been organised for extremity dosemeters in 2009. For 2010 it is planned to organise a second intercomparison for whole-body dosemeters. (authors)

  15. Voluntary vs. compulsory student evaluation of clerkships: effect on validity and potential bias.

    Science.gov (United States)

    Aoun Bahous, Sola; Salameh, Pascale; Salloum, Angelique; Salameh, Wael; Park, Yoon Soo; Tekian, Ara

    2018-01-05

    Students evaluations of their learning experiences can provide a useful source of information about clerkship effectiveness in undergraduate medical education. However, low response rates in clerkship evaluation surveys remain an important limitation. This study examined the impact of increasing response rates using a compulsory approach on validity evidence. Data included 192 responses obtained voluntarily from 49 third-year students in 2014-2015, and 171 responses obtained compulsorily from 49 students in the first six months of the consecutive year at one medical school in Lebanon. Evidence supporting internal structure and response process validity was compared between the two administration modalities. The authors also tested for potential bias introduced by the use of the compulsory approach by examining students' responses to a sham item that was added to the last survey administration. Response rates increased from 56% in the voluntary group to 100% in the compulsory group (P two consecutive years. Testing for non-response bias in the voluntary group showed that females were more frequent responders in two clerkships. Testing for authority-induced bias revealed that students might complete the evaluation randomly without attention to content. While increasing response rates is often a policy requirement aimed to improve the credibility of ratings, using authority to enforce responses may not increase reliability and can raise concerns over the meaningfulness of the evaluation. Administrators are urged to consider not only response rates, but also representativeness and quality of responses in administering evaluation surveys.

  16. Are recent graduates enough prepared to perform obstetric skills in their rural and compulsory year? A study from Ecuador.

    Science.gov (United States)

    Sánchez Del Hierro, Galo; Remmen, Roy; Verhoeven, Veronique; Van Royen, Paul; Hendrickx, Kristin

    2014-07-31

    The aim of this study was to assess the possible mismatch of obstetrical skills between the training offered in Ecuadorian medical schools and the tasks required for compulsory rural service. Primary care, rural health centres in Southern Ecuador. A total of 92 recent graduated medical doctors during their compulsory rural year. A web-based survey was developed with 21 obstetrical skills. The questionnaire was sent to all rural doctors who work in Loja province, Southern Ecuador, at the Ministry of Health (n=92). 'importance of skills in rural practice' with a five-point Likert-type scale (1= strongly disagree; 5= strongly agree); and 'clerkship experience' using a nominal scale divided in five levels: level 1 (not seen, not performed) to level 5 (performed 10 times or more). Spearman's rank correlation coefficient (r) was used to observe associations. A negative correlation was found in the skills: 'episiotomy and repair', 'umbilical vein catheterisation', 'speculum examination', 'evaluation of cervical dilation during active labour', 'neonatal resuscitation' and 'vacuum-assisted vaginal delivery'. For instance 'Episiotomy and repair' is important (strongly agree and agree) to 100% of respondents, but in practice, only 38.9% of rural doctors performed the task three times and 8.3% only once during the internship, similar pattern is seen in the others. In this study we have noted the gap between the medical needs of populations in rural areas and training provided during the clerkship experiences of physicians during their rural service year. It is imperative to ensure that rural doctors are appropriately trained and skilled in the performance of routine obstetrical duties. This will help to decrease perinatal morbidity and mortality in rural Ecuador. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  17. Are recent graduates enough prepared to perform obstetric skills in their rural and compulsory year? A study from Ecuador

    Science.gov (United States)

    Sánchez del Hierro, Galo; Remmen, Roy; Verhoeven, Veronique; Van Royen, Paul; Hendrickx, Kristin

    2014-01-01

    Objectives The aim of this study was to assess the possible mismatch of obstetrical skills between the training offered in Ecuadorian medical schools and the tasks required for compulsory rural service. Setting Primary care, rural health centres in Southern Ecuador. Participants A total of 92 recent graduated medical doctors during their compulsory rural year. Primary and secondary outcomes measures A web-based survey was developed with 21 obstetrical skills. The questionnaire was sent to all rural doctors who work in Loja province, Southern Ecuador, at the Ministry of Health (n=92). We measured two categories ‘importance of skills in rural practice’ with a five-point Likert-type scale (1= strongly disagree; 5= strongly agree); and ‘clerkship experience’ using a nominal scale divided in five levels: level 1 (not seen, not performed) to level 5 (performed 10 times or more). Spearman's rank correlation coefficient (r) was used to observe associations. Results A negative correlation was found in the skills: ‘episiotomy and repair’, ‘umbilical vein catheterisation’, ‘speculum examination’, ‘evaluation of cervical dilation during active labour’, ‘neonatal resuscitation’ and ‘vacuum-assisted vaginal delivery’. For instance ‘Episiotomy and repair’ is important (strongly agree and agree) to 100% of respondents, but in practice, only 38.9% of rural doctors performed the task three times and 8.3% only once during the internship, similar pattern is seen in the others. Conclusions In this study we have noted the gap between the medical needs of populations in rural areas and training provided during the clerkship experiences of physicians during their rural service year. It is imperative to ensure that rural doctors are appropriately trained and skilled in the performance of routine obstetrical duties. This will help to decrease perinatal morbidity and mortality in rural Ecuador. PMID:25082424

  18. A defense of compulsory vaccination.

    Science.gov (United States)

    Flanigan, Jessica

    2014-03-01

    Vaccine refusal harms and risks harming innocent bystanders. People are not entitled to harm innocents or to impose deadly risks on others, so in these cases there is nothing to be said for the right to refuse vaccination. Compulsory vaccination is therefore justified because non-vaccination can rightly be prohibited, just as other kinds of harmful and risky conduct are rightly prohibited. I develop an analogy to random gunfire to illustrate this point. Vaccine refusal, I argue, is morally similar to firing a weapon into the air and endangering innocent bystanders. By re-framing vaccine refusal as harmful and reckless conduct my aim is to shift the focus of the vaccine debate from non-vaccinators' religious and refusal rights to everyone else's rights against being infected with contagious illnesses. Religious freedom and rights of informed consent do not entitle non-vaccinators to harm innocent bystanders, and so coercive vaccination requirements are permissible for the sake of the potential victims of the anti-vaccine movement.

  19. [Certain medico-economic prerequisites for the integration of spa and resort facilities into the system of compulsory health insurance].

    Science.gov (United States)

    Artem'eva, G B; Gekht, I A

    2013-01-01

    The involvement of spa and resort facilities in the system of compulsory health insurance is of primary importance for the improvement of medical aid provided to the population. The application of the methods for the calculation of differential expenditures on the spa and resort-based treatment and estimation of their dependence on a variety of factors may facilitate the more rational use of the available resources of compulsory health insurance.

  20. Asclepius or Hippocrates? Differing Interpretations of Post-Compulsory Initial Teacher Training Mentoring

    Science.gov (United States)

    Ingleby, Ewan

    2011-01-01

    This article discusses qualitative research findings on mentoring within PCET ITT (post-compulsory education and training initial teacher training). The article complements the findings of Tedder and Lawy (2009) and Ingleby (2010). The article develops Downie and Randall's consideration of the merits or otherwise of mirroring either "Asclepius" or…

  1. Reform of the Educational Finance System as the Foundation of Compulsory Education

    Science.gov (United States)

    Suetomi, Kaori; Murray, Nadezhda

    2014-01-01

    The conditions required for a reform of the educational finance system as the foundation of compulsory education are 1) devolution to schools and introduction of national standards in order to deal with "individual equality" while compensating for the insufficiency of "aspectual equality," and 2) dealing with educational needs…

  2. 16 CFR 5.61 - Prehearing procedures; motions; interlocutory appeals; summary decision; discovery; compulsory...

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Prehearing procedures; motions; interlocutory appeals; summary decision; discovery; compulsory process. 5.61 Section 5.61 Commercial Practices FEDERAL TRADE COMMISSION ORGANIZATION, PROCEDURES AND RULES OF PRACTICE STANDARDS OF CONDUCT Disciplinary...

  3. Experience with respect to dose limitation in nuclear fuel service operations in the United Kingdom supporting civil nuclear power programmes

    International Nuclear Information System (INIS)

    Kennedy, J.W.

    1983-01-01

    Within the United Kingdom, the nuclear power generation programme is supported by nuclear fuel services including uranium enrichment, fuel fabrication and reprocessing, operated by British Nuclear Fuels Limited (BNFL). These have entailed the processing of large quantities of uranium and of plutonium and fission products arising in the course of irradiation of fuel in nuclear power stations and have necessitated substantial programmes for the radiological protection of the public and of the workers employed in the industry. This paper presents and reviews the statistics of doses recorded in the various sectors of nuclear fuel services operations against the background of the standards to which the industry is required to operate. A description is given of the development of BNFL policy in keeping with the objective of being recognized as among those industries regarded as safe and the resource implications of measures to reduce doses received by workers are reviewed in the light of experience. Finally, the paper reviews the epidemiological data which have been, and continue to be, collected for workers who have been employed in these nuclear fuel services. (author)

  4. Promoting reading skills or wasting time? Students’ perceived benefits of reading in an intermediary programme at the Vaal University of Technology

    Directory of Open Access Journals (Sweden)

    Linda Scott

    2016-05-01

    Full Text Available Notwithstanding the substantial transformation of education in South Africa in the last 20 years, specifically to redress the past inequalities, the challenges are ongoing. These challenges include tertiary institutions having to accommodate a culturally and linguistically diverse group of students, often second-language (L2 English speakers, in an English lingua franca classroom. This study investigated the reading attitudes and habits of students in an intermediary programme of a tertiary institution and any perceived changes to these attitudes or habits, as well as their perceptions of the promotion of reading by the programme. On successful completion of the intermediary programme, students register for the compulsory first-year English distance learning course and are required to complete a placement test. Results for students who attended the intermediary programme were compared with those of students who did not attend the intermediary programme but registered directly for mainstream. The teaching of reading appeared invaluable at the tertiary level with the indication that students’ attitudes and behaviour changed and that they inter alia realised the academic value thereof, made decisions to take up reading as a hobby and discovered new genres. Keywords: Reading; Linguistically diverse

  5. An evaluation of staff engagement programmes in four National Health Service Acute Trusts.

    Science.gov (United States)

    Hewison, Alistair; Gale, Nicola; Yeats, Rowena; Shapiro, Jonathan

    2013-01-01

    The purpose of this paper is to report the findings from an evaluation project conducted to investigate the impact of two staff engagement programmes introduced to four National Health Service (NHS) hospital Trusts in England. It seeks to examine this development in the context of current policy initiatives aimed at increasing the level of staff involvement in decision-making, and the related literature. A mixed-methods approach incorporating document analysis, interviews, a survey and appreciative inquiry, informed by the principles of impact evaluation design, was used. The main finding to emerge was that leadership was crucial if widespread staff engagement was to be achieved. Indeed, in some of the trusts the staff engagement programmes were seen as mechanisms for developing leadership capability. The programmes had greater impact when they were "championed" by the Chief Executive. Effective communication throughout the organisations was reported to be a prerequisite for staff engagement. Problems were identified at the level of middle management where the lack of confidence in engaging with staff was a barrier to implementation. The nature of the particular organisational context is crucial to the success of efforts to increase levels of staff engagement. The measures that were found to work in the trusts would need to be adapted and applied to best meet the needs of other organisations. Many health care organisations in England will need to harness the efforts of their workforce if they are to meet the significant challenges of dealing with financial restraint and increasing patient demand. This paper provides some insights on how this can be done.

  6. WTO approves TRIPS amendment on importing under compulsory licensing.

    Science.gov (United States)

    Herget, Greg

    2006-04-01

    On 6 December 2005, the World Trade Organization (WTO) amended the Trade Related Aspects of Intellectual Property Rights (TRIPS) agreement to allow WTO member states to produce, under compulsory licences, lower-cost generic pharmaceutical products for export to countries that lack domestic production capacity to make such products. The amendment makes permanent the previous decision of 30 August 2003, which has not yet proven to be an effective mechanism to encourage the supply of more affordable medicines and other pharmaceutical products to countries in need.

  7. The French nuclear programme

    International Nuclear Information System (INIS)

    Bacher, Pierre

    1987-01-01

    France has a civil nuclear power generation programme second only to the USA with 49 nuclear units in operation and 13 under construction. The units in service are described. These include 33 PWR 900 MW and 9 PWR 1300 MW units. The electricity consumption and generation in France is illustrated. The absence of a powerful anti-nuclear lobby and two main technical options have contributed to the success of the French nuclear programme. These are the PWR design and the plant standardization policy which allows the setting up of an effective industrial complex (eg for analysis of operating conditions and of safety and reliability information). The programme and the reasons for its success are reviewed. Research programmes and future plans are also discussed. (UK)

  8. The Internet in EFL Teacher Education: Investigating the Possibilities and Challenges in a Pre-Service Teacher Education Programme

    Science.gov (United States)

    Abdallah, Mahmoud Mohammad Sayed

    2011-01-01

    The paper reported on a small-scale qualitative study on EFL (English as a Foreign Language) teacher education with a two-fold objective, investigating the possibility of integrating the Internet for academic purposes in the context of a pre-service English teacher education programme in Egypt, and suggesting some guidelines based on the specific…

  9. Oltre la scuola dell’obbligo. Un’analisi empirica della decisione di proseguire nell’istruzione post-obbligatoria in Italia (Beyond Post-Compulsory Schooling: An Empirical Analysis of the Decision to Go On in Post-Compulsory Education in Italy

    Directory of Open Access Journals (Sweden)

    Massimiliano Bratti

    2001-06-01

    Full Text Available In this paper we analyse the decision to continue in post-compulsory education in Italy. Using data from the Survey of Household Income and Wealth (SHIW of the Bank of Italy we estimate binary choice models (probit and logit with the primary aim of investigating factors which affect the decision to continue in post-compulsory education. The estimates of the econometric model show that the individual with the smallest probability to continue in education has one or more of the following attributes: residence in the South, in big towns, father without formal education, self-employed or working in the agricultural sector, mother with less than high secondary schooling (licenza media superiore. The role of family income in shaping educational decisions is especially important in Central and Southern Italy, where income levels are lower. The economic variables whose role is emphasised by the mainstream approach to educational choices, the theory of human capital, turn out not to be significant in the explanation of post-compulsory schooling in Italy where social and long-term and short-term family factors appear to be dominant.

  10. Computer Science (CS) in the Compulsory Education Curriculum: Implications for Future Research

    Science.gov (United States)

    Passey, Don

    2017-01-01

    The subject of computer science (CS) and computer science education (CSE) has relatively recently arisen as a subject for inclusion within the compulsory school curriculum. Up to this present time, a major focus of technologies in the school curriculum has in many countries been on applications of existing technologies into subject practice (both…

  11. Disciplining the Conduct of Young People in Compulsory Education Policy and Practice

    Science.gov (United States)

    Hodgson, David

    2018-01-01

    Disciplining and pastoral power are central to the strategies and practices of intervening in the lives of young people deemed at risk of disengaging from school, or not completing their compulsory education. As an expression of power concerned with young people's welfare and self-improvement, disciplining and pastoral practices push young people…

  12. Struggle with School Absenteeism in Compulsory Education: Different Country Approaches and Policies

    Science.gov (United States)

    Akbasli, Sait; Sahin, Mehmet; Yilmaz, St. Pinar Mardin

    2017-01-01

    This research has been conducted to discuss the absenteeism in compulsory education and the proposed policies for reducing this problem with the school practices. In this context, the general situation regarding the absenteeism in the Turkish education system has been put forward and the current practices and policies have been addressed.…

  13. Impact of community-based support services on antiretroviral treatment programme delivery and outcomes in resource-limited countries: a synthetic review

    Directory of Open Access Journals (Sweden)

    Wouters Edwin

    2012-07-01

    Full Text Available Abstract Background Task-shifting to lay community health providers is increasingly suggested as a potential strategy to overcome the barriers to sustainable antiretroviral treatment (ART scale-up in high-HIV-prevalence, resource-limited settings. The dearth of systematic scientific evidence on the contributory role and function of these forms of community mobilisation has rendered a formal evaluation of the published results of existing community support programmes a research priority. Methods We reviewed the relevant published work for the period from November 2003 to December 2011 in accordance with the guidelines for a synthetic review. ISI Web of Knowledge, Science Direct, BioMed Central, OVID Medline, PubMed, Social Services Abstracts, and Sociological Abstracts and a number of relevant websites were searched. Results The reviewed literature reported an unambiguous positive impact of community support on a wide range of aspects, including access, coverage, adherence, virological and immunological outcomes, patient retention and survival. Looking at the mechanisms through which community support can impact ART programmes, the review indicates that community support initiatives are a promising strategy to address five often cited challenges to ART scale-up, namely (1 the lack of integration of ART services into the general health system; (2 the growing need for comprehensive care, (3 patient empowerment, (4 and defaulter tracing; and (5 the crippling shortage in human resources for health. The literature indicates that by linking HIV/AIDS-care to other primary health care programmes, by providing psychosocial care in addition to the technical-medical care from nurses and doctors, by empowering patients towards self-management and by tracing defaulters, well-organised community support initiatives are a vital part of any sustainable public-sector ART programme. Conclusions The review demonstrates that community support initiatives are a

  14. A leadership programme for critical care.

    Science.gov (United States)

    Crofts, Linda

    2006-08-01

    This paper describes the genesis, design and implementation of a leadership programme for critical care. This was an initiative funded by the National Health Service (NHS) Nursing Leadership Project and had at the core of its design flexibility to meet the needs of the individual hospitals, which took part in it. Participation was from the multi-disciplinary critical care team. Six NHS hospitals took part in the programme which was of 20 days duration and took place on hospital sites. The programme used the leadership model of as its template and had a number of distinct components; a baseline assessment, personal development, principles of leadership and critical case reviews. The programme was underpinned by three themes; working effectively in multi-professional teams to provide patient focussed care, managing change through effective leadership and developing the virtual critical care service. Each group set objectives pertinent to their own organisation's needs. The programme was evaluated by a self-reporting questionnaire; group feedback and feedback from stakeholders. Programme evaluation was positive from all the hospitals but it was clear that the impact of the programme varied considerably between the groups who took part. It was noted that there was some correlation between the success of the programme and organisational 'buy in' as well as the organisational culture within which the participants operated. A key feature of the programme success was the critical case reviews, which were considered to be a powerful learning tool and medium for group learning and change management.

  15. Medication therapy management services in community pharmacy: a pilot programme in HIV specialty pharmacies.

    Science.gov (United States)

    Rosenquist, Ashley; Best, Brookie M; Miller, Teresa A; Gilmer, Todd P; Hirsch, Jan D

    2010-12-01

    Pharmacist-provided medication therapy management services (MTMS) have been shown to increase patient's adherence to medications, improve health outcomes and reduce overall medical costs. The purpose of this study was to describe a pilot programme that provided pharmacy-based MTMS for patients with HIV/AIDS in the state of California, USA. Pharmacists from the 10 pilot pharmacies were surveyed using an online data collection tool. Information was collected to describe the types of MTMS offered, proportion of patients actively using specific MTMS, pharmacist beliefs regarding effect on patient outcomes and barriers to providing MTMS, ability to offer MTMS without pilot programme funding and specialized pharmacist or staff training. Each responding pharmacy (7 of 10) varied in the number of HIV/AIDS patients served and prescription volume. All pharmacists had completed HIV/AIDS-related continuing education programmes, and some had other advanced training. The type of MTMS being offered varied at each pharmacy with 'individualized counselling by a pharmacist when overuse or underuse was detected' and 'refill reminders by telephone' being actively used by the largest proportion of patients. Most, but not all, pharmacists cited reimbursement as a barrier to MTMS provision. Pharmacists believed the MTMS they provide resulted in improved satisfaction (patient and provider), medication usage, therapeutics response and patient quality of life. The type of MTMS offered, and proportion of patients actively using, varied among participating pilot pharmacies. © 2010 Blackwell Publishing Ltd.

  16. Compulsory and recommended vaccination in Italy: evaluation of coverage and non-compliance between 1998-2002 in Northern Italy.

    Science.gov (United States)

    Stampi, Serena; Ricci, Rita; Ruffilli, Isa; Zanetti, Franca

    2005-04-21

    Since vaccinations are an effective prevention tool for maintaining the health of society, the monitoring of immunization coverage allows us to identify areas where disease outbreaks are likely to occur, and possibly assist us in predicting future outbreaks. The aim of this study is the investigation of the coverage achieved for compulsory (diphtheria, tetanus, polio, hepatitis B,) and recommended (pertussis, Haemophilus influenzae, measles-mumps-rubella) vaccinations between 1998 and 2002 in the municipality of Bologna and the identification of the subjects not complying with compulsory and recommended vaccinations. The statistics regarding vaccinal coverage were elaborated from the data supplied by the Bologna vaccinal registration system (1998-2000) and the IPV4 program (2001-2002). To calculate the coverage for compulsory vaccinations and cases of non-compliance reference was made to the protocol drawn up by the Emilia Romagna Regional Administration. The reasons for non-compliance were divided into various categories In Bologna the levels of immunization for the four compulsory vaccinations are satisfactory: over 95% children completed the vaccinal cycle, receiving the booster for anti-polio foreseen in their 3rd year and for anti-diphtheria, tetanus, pertussis at 6 years. The frequency of subjects with total non-compliance (i.e. those who have not begun any compulsory vaccinations by the age of one year) is generally higher in Bologna than in the region, with a slight increase in 2002 (2.52% and 1.06% in the city and the region respectively). The frequency of the anti-measles vaccination is higher than that of mumps and rubella, which means that the single vaccine, as opposed to the combined MMR (measles-mumps-rubella) was still being used in the period in question. The most common reason for non compliance is objection of parents and is probably due to reduction of certain diseases or anxiety about the possible risks. In Bologna the frequency of children

  17. Compulsory and recommended vaccination in Italy: evaluation of coverage and non-compliance between 1998-2002 in Northern Italy

    Directory of Open Access Journals (Sweden)

    Ruffilli Isa

    2005-04-01

    Full Text Available Abstract Background Since vaccinations are an effective prevention tool for maintaining the health of society, the monitoring of immunization coverage allows us to identify areas where disease outbreaks are likely to occur, and possibly assist us in predicting future outbreaks. The aim of this study is the investigation of the coverage achieved for compulsory (diphtheria, tetanus, polio, hepatitis B, and recommended (pertussis, Haemophilus influenzae, measles-mumps-rubella vaccinations between 1998 and 2002 in the municipality of Bologna and the identification of the subjects not complying with compulsory and recommended vaccinations. Methods The statistics regarding vaccinal coverage were elaborated from the data supplied by the Bologna vaccinal registration system (1998–2000 and the IPV4 program (2001–2002. To calculate the coverage for compulsory vaccinations and cases of non-compliance reference was made to the protocol drawn up by the Emilia Romagna Regional Administration. The reasons for non-compliance were divided into various categories Results In Bologna the levels of immunization for the four compulsory vaccinations are satisfactory: over 95% children completed the vaccinal cycle, receiving the booster for anti-polio foreseen in their 3rd year and for anti-dyphteria, tetanus, pertussis at 6 years. The frequency of subjects with total non-compliance (i.e. those who have not begun any compulsory vaccinations by the age of one year is generally higher in Bologna than in the region, with a slight increase in 2002 (2.52% and 1.06% in the city and the region respectively. The frequency of the anti-measles vaccination is higher than that of mumps and rubella, which means that the single vaccine, as opposed to the combined MMR (measles-mumps-rubella was still being used in the period in question. The most common reason for non compliance is objection of parents and is probably due to reduction of certain diseases or anxiety about the

  18. Perspectives on medicine adherence in service users and carers with experience of legally sanctioned detention and medication: a qualitative study.

    Science.gov (United States)

    Gault, Iris; Gallagher, Ann; Chambers, Mary

    2013-01-01

    To explore and analyze perceptions of service users and caregivers on adherence and nonadherence to medication in a mental health care context. Mental health medication adherence is considered problematic and legal coercion exists in many countries. This was a qualitative study aiming to explore perceptions of medication adherence from the perspective of the service user (and their caregiver, where possible). Eighteen mental health service users (and six caregivers) with histories of medication nonadherence and repeated compulsory admission were recruited from voluntary sector support groups in England. Data were collected between 2008 and 2010. Using qualitative coding techniques, the study analyzed interview and focus group data from service users, previously subjected to compulsory medication under mental health law, or their caregivers. The process of medication adherence or nonadherence is encapsulated in an explanatory narrative. This narrative constitutes participants' struggle to negotiate acceptable and effective routes through variable quality of care. Results indicated that service users and caregivers eventually accepted the reality of their own mental illness and their need for safety and treatment. They perceived the behavior of professionals as key in their recovery process. Professionals could be enabling or disabling with regard to adherence to medication. This study investigated service user and caregiver perceptions of medication adherence and compulsory treatment. Participants described a process perceived as variable and potentially doubly faceted. The behavior of professionals was seen as crucial in collaborative decision making on medication adherence.

  19. Teaching English Language Skills for School Teachers: CTE Programme of IGNOU

    Directory of Open Access Journals (Sweden)

    Asha Khare

    2011-01-01

    Full Text Available India is a multilingual country. English is the second most important language in the country after the national language Hindi since it is taught as a compulsory subject in all the Indian schools. In the educational system of a multilingual country, it becomes imperative to improve the English Language teaching skills of the school teachers who come from various linguistic backgrounds. The school teacher plays a vital role in the development of linguistic skills of the students. What children learn can affect their later success or failure in school, work, and their personal lives. As such, the school teachers need to improve their own English language skills if they are teaching without any previous English language training. This paper throws light on the communicative approach of English language teaching. It introduces the Certificate in Teaching of English (CTE programme of the Indira Gandhi National Open University (IGNOU and outlines the syllabus and the methods used by the university to impart English Language Teaching skills to the elementary/secondary school teachers through this programme with the objective to enhance teacher’s understanding of  the learners and their learning process.

  20. Should I Take Further Mathematics? Physics Undergraduates' Experiences of Post-Compulsory Mathematics

    Science.gov (United States)

    Bowyer, Jessica; Darlington, Ellie

    2017-01-01

    It is essential that physics undergraduates are appropriately prepared for the mathematical demands of their course. This study investigated physics students' perceptions of post-compulsory mathematics as preparation for their degree course. 494 physics undergraduates responded to an online questionnaire about their experiences of A-level…

  1. E-CUSTOMS PROGRAMME - NEW QUALITY OF SERVICES PROVIDED BY CUSTOMS ADMINISTRATIONS TO EUROPEAN BUSINESS

    Directory of Open Access Journals (Sweden)

    Małgorzata Czermińska

    2016-09-01

    Full Text Available E-Customs initiative includes a number of IT projects, organizational and legal measures. They are designed to creation of a simple and paperless environment for trade and customs, to short the duration of customs clearance and to ensure an appropriate level of security of commercial transactions. Modern customs administration must operate on the basis of advanced infrastructure in the field of information and communication technologies. Only then will it be able to provide cheaper and more efficient customs services. Therefore, the greatest challenge and the main goal of the e-Customs programme is to harmonize customs procedures and systems in the 28 Member States. The article describes the assumptions and objectives of the e-Customs, presents its genesis and evolution. Particular attention was paid to the activities that are aimed at improving the quality of customs services provided to European companies.

  2. Compensation and Resettlement Policies after Compulsory Land Acquisition for Hydropower Development in Vietnam: Policy and Practice

    Directory of Open Access Journals (Sweden)

    Pham Huu Ty

    2013-11-01

    Full Text Available Under Vietnam’s State land ownership regime, the Government holds supreme authority over compulsory land acquisition. The results show that many improvements in land acquisition policies have been made, but poor implementation measures largely cannot prevent or even mitigate the adverse impacts on displaced persons. In particular, ineffective compensation measures and a lack of production land and livelihood alternatives accelerate the resistance of communities displaced as a result of hydropower development. The close alliance between the local government and the investor, which is considered as an “interest group”, is the main factor that leads to the ignorance of benefits of displaced people within the compulsory land acquisition process.

  3. Pragati§: an empowerment programme for female sex workers in Bangalore, India

    Directory of Open Access Journals (Sweden)

    Sjoerd M. Euser

    2012-11-01

    Full Text Available Objectives: To describe the effects of a broad empowerment programme among female sex workers (FSWs in Bangalore, India, which seeks to develop the capacities of these women to address the issues that threaten their lives and livelihoods. Design: This study is based on a comprehensive, on-going HIV-prevention and empowering programme, known as Pragati, which reaches out to approximately 10,000–12,000 FSWs in Bangalore each year. The programme has been designed in collaboration with the sex worker community and provides a personalised set of services, which include STI prevention and treatment services, crisis-response facilities, de-addiction services, and microfinance support all of which have been tailored to adequately fulfil each woman's needs. During the period examined by this study, the programme reached out to 20,330 individual FSWs [median (IQR age 28 (24–35 years]. The programme's personal records of the participating FSWs were used for this descriptive study. Results: Between 2005 and 2010, the number of participating FSWs increased from 2,307 to 13,392. These women intensified their contact with the programme over time: the number of programme contacts increased from 10,351 in 2005 to 167,709 in 2010. Furthermore, data on the effects of crisis-response facilities, de-addiction and microfinance services, condom distribution schemes, and STI diagnosis and treatment showed an accumulating involvement of the participating FSWs in these programme services. Conclusion: This programme, which focuses on social and economic empowerment among FSWs, is successful in reaching and involving the target population.

  4. The indirect and direct pathways between physical fitness and academic achievement on commencement in post-compulsory education in a historical cohort of Danish school youth.

    Science.gov (United States)

    Andersen, Mikkel Porsborg; Starkopf, Liis; Sessa, Maurizio; Mortensen, Rikke Nørmark; Vardinghus-Nielsen, Henrik; Bøggild, Henrik; Lange, Theis; Torp-Pedersen, Christian

    2017-09-11

    Some studies have found positive associations between physical fitness and academic achievements. Pupils' academic achievements should indicate scholastic abilities to commence a post-compulsory education. However, the effect magnitude of physical fitness and academic achievements on commencement in post-compulsory education is unknown. We examined the pathways between physical fitness and academic achievement on pupils' commencement in post-compulsory education. This historical cohort study followed 530 girls and 554 boys from the Danish municipality of Aalborg in the period 2008-2014, 13 to 15 years old in 2010. Physical fitness was assessed through a watt-max cycle ergometer test represented as VO 2 max (mL·kg -1 ·min -1 ). Academic achievement, commencement status and information on covariates were obtained from Danish nationwide registers. Causal inference based mediation analysis was used to investigate the indirect and direct pathways by separating the total effect of physical fitness on post-compulsory education commencement. Adjusting for sex, age, ethnicity and socioeconomic status, the overall mediation analysis showed an odds ratio (OR) of 1.87 (95% confidence interval (CI): 1.30; 2.73) for the total effect, corresponding to an increase in odds of post-compulsory education commencement when the physical fitness was increased by 10 units of VO 2 max. The separated total effect showed a natural direct OR of 1.36 (95% CI: 0.93; 1.98) and a natural indirect (i.e., through academic achievement) OR of 1.37 (95% CI: 1.20; 1.57). Thus, 51% (95% CI: 27%; 122%) of the effect of physical fitness on post-compulsory education commencement was mediated through academic achievement. Physical fitness had a positive effect on post-compulsory education commencement. A substantial part of this effect was mediated through academic achievement.

  5. Oltre la scuola dell’obbligo. Un’analisi empirica della decisione di proseguire nell’istruzione post-obbligatoria in Italia (Beyond Post-Compulsory Schooling: An Empirical Analysis of the Decision to Go On in Post-Compulsory Education in Italy

    Directory of Open Access Journals (Sweden)

    Massimiliano Bratti

    2012-04-01

    Full Text Available In this paper we analyse the decision to continue in post-compulsory education in Italy. Using data from the Survey of Household Income and Wealth (SHIW of the Bank of Italy we estimate binary choice models (probit and logit with the primary aim of investigating factors which affect the decision to continue in post-compulsory education. The estimates of the econometric model show that the individual with the smallest probability to continue in education has one or more of the following attributes: residence in the South, in big towns, father without formal education, self-employed or working in the agricultural sector, mother with less than high secondary schooling (licenza media superiore. The role of family income in shaping educational decisions is especially important in Central and Southern Italy, where income levels are lower. The economic variables whose role is emphasised by the mainstream approach to educational choices, the theory of human capital, turn out not to be significant in the explanation of post-compulsory schooling in Italy where social and long-term and short-term family factors appear to be dominant.          JEL Codes: I21, I28Keywords: Education, Schooling

  6. Focus on Formative Feedback communication and self-regulated learning – a study in compulsory schools

    DEFF Research Database (Denmark)

    Kirkegaard, Preben Olund

    This study addresses the conceptual challenge of providing students in compulsory schools with good quality formative feedback to enhance self-regulated learning in social interactions. Resent educational research indicates that social communicative interactions in the classroom, with a focus...... qualitative data from video recorded teaching sessions and student group interviews. Methodologically we are inspired by the ethnographical classroom research method. The empirical basis for studying these aspects is data from two compulsory schools in Denmark. This study is a work in progress. Our findings...... on formative feedback, hold the potential to enhance students learning. Self-regulated learning is highly pertinent and can be seen as one of the most import skills for the 21st century learner. We argue that formative feedbackcommunication in interactions is crucial for students to develop self...

  7. An Idiographic Analysis of Amotivation in Compulsory School Physical Education

    OpenAIRE

    Ntoumanis, Nikos; Pensgaard, Anne-Marte; Martin, Chris; Pipe, Katie

    2004-01-01

    The purpose of this study was to provide an in-depth account of amotivation in compulsory school physical education by examining its major causes, the way it is displayed, and how it can be tackled. From an initial participant pool of 390 British schoolchildren ages 14 to 15 years, 21 of them (15 girls and 6 boys) were selected to participate in semi-structured interviews. They were categorized as being amotivated based on their responses to a questionnaire measuring motivation in physical ed...

  8. Turkish Compulsory Earthquake Insurance and "Istanbul Earthquake

    Science.gov (United States)

    Durukal, E.; Sesetyan, K.; Erdik, M.

    2009-04-01

    The city of Istanbul will likely experience substantial direct and indirect losses as a result of a future large (M=7+) earthquake with an annual probability of occurrence of about 2%. This paper dwells on the expected building losses in terms of probable maximum and average annualized losses and discusses the results from the perspective of the compulsory earthquake insurance scheme operational in the country. The TCIP system is essentially designed to operate in Turkey with sufficient penetration to enable the accumulation of funds in the pool. Today, with only 20% national penetration, and about approximately one-half of all policies in highly earthquake prone areas (one-third in Istanbul) the system exhibits signs of adverse selection, inadequate premium structure and insufficient funding. Our findings indicate that the national compulsory earthquake insurance pool in Turkey will face difficulties in covering incurring building losses in Istanbul in the occurrence of a large earthquake. The annualized earthquake losses in Istanbul are between 140-300 million. Even if we assume that the deductible is raised to 15%, the earthquake losses that need to be paid after a large earthquake in Istanbul will be at about 2.5 Billion, somewhat above the current capacity of the TCIP. Thus, a modification to the system for the insured in Istanbul (or Marmara region) is necessary. This may mean an increase in the premia and deductible rates, purchase of larger re-insurance covers and development of a claim processing system. Also, to avoid adverse selection, the penetration rates elsewhere in Turkey need to be increased substantially. A better model would be introduction of parametric insurance for Istanbul. By such a model the losses will not be indemnified, however will be directly calculated on the basis of indexed ground motion levels and damages. The immediate improvement of a parametric insurance model over the existing one will be the elimination of the claim processing

  9. A Scotland-wide pilot programme of smoking cessation services for young people: process and outcome evaluation.

    Science.gov (United States)

    Gnich, Wendy; Sheehy, Christine; Amos, Amanda; Bitel, Mark; Platt, Stephen

    2008-11-01

    To conduct an independent, external evaluation of a Scotland-wide youth cessation pilot programme, focusing upon service uptake and effectiveness. National Health Service (NHS) Health Scotland and Action on Smoking and Health (ASH) Scotland funded a 3-year (2002-2005) national pilot programme comprising eight projects which aimed to engage with and support young smokers (aged 12-25 years) to quit. Process evaluation was undertaken via detailed case studies comprising qualitative interviews, observation and documentary analysis. Outcomes were assessed by following project participants (n=470 at baseline) at 3 and 12 months and measuring changes in smoking behaviour, including carbon monoxide (CO)-validated quit status. Recruitment proved difficult. Considerable time and effort were needed to attract young smokers. Advertising and recruitment had to be tailored to project settings and educational activities proved essential to raise the profile of smoking as an issue. Thirty-nine participants [8.6%, 95% confidence interval (CI) 5.0-11.2%] were CO-validated quitters at 3 months and 11 of these (2.4%, 95% CI 1.90-3.8%) were also validated quitters at 12 months. Older participants were more likely to be abstinent at 3 months. The overall quit rate was disappointing. As a result of low participant numbers, it was impossible to draw conclusions about the relative effectiveness of different project approaches. These findings give little support to the case for developing dedicated youth cessation services in Scotland. They also highlight the difficulties of undertaking 'real-world' evaluations of pilot youth cessation projects. More action is needed to develop environments which enhance young smokers' motivation to quit and their ability to sustain quit attempts.

  10. Does school time matter? On the impact of compulsory education age on school dropout

    NARCIS (Netherlands)

    Cabus, S.J.; de Witte, K.

    2010-01-01

    A straightforward way to prevent students from leaving education without a higher secondary diploma consists of increasing the compulsory education age. By staying longer in school, the idea is that more students eventually obtain a higher secondary diploma. This paper examines by a

  11. The role of customs services and World Customs Organization (WCO)'s enforcement programme to combat nuclear and other radioactive materials smuggling

    International Nuclear Information System (INIS)

    Saka, E.

    1999-01-01

    The World Customs Organization (established as the Customs Co-operation Council in 1952) is an independent inter-governmental body with world-wide membership (150) whose enforcement mission could be summarized as 'to assist its Members in strengthening their enforcement measures through training and technical programmes designed to combat Customs offences', which also include nuclear and other radioactive materials smuggling. One of the best strategies for an effective fight against illicit trafficking in nuclear and other radioactive materials is to stop their illegal movement at the national border before entering or leaving the country. From this point, Customs services are unique governmental cross-border control agencies, which are mostly located at national cross-border checking points. In addition to this local advantage, Customs expertise and authority in checking documents, goods, vehicles and passengers deserve special mentioning. It should also be noted that Customs services have great experience on how to combat and respond to transnational crime and criminals. On the other hand, in order to maximize on their experience, they should be furnished with sufficient authority for investigation, detection equipment and supported through relevant training programmes. In line with the request made by Member States, the World Customs Organization (WCO) Secretariat has recently developed an enforcement programme on combating nuclear and other radioactive materials smuggling. This programme is based on awareness raising, development of training materials, designing training programmes, promoting exchange of information and improving co-operation at all levels. The WCO Database, the WCO Regional Intelligence Liaison (RILO) project and WCO bilateral and multilateral co-operative initiatives are three key tools which enable Customs administrations to develop accurate, timely and rapid exchange of information and intelligence. Within the concept of international co

  12. Blending Community Service and Teaching to Open Vision Care and Eye Health Awareness to University Students

    Science.gov (United States)

    Do, Chi-wai; Chan, Lily Y. L.; Wong, Horace H. Y.; Chu, Geoffrey; Yu, Wing Yan; Pang, Peter C. K.; Cheong, Allen M. Y.; Ting, Patrick Wai-ki; Lam, Thomas Chuen; Kee, Chea-su; Lam, Andrew; Chan, Henry H. L.

    2016-01-01

    A vision care-based community service subject is offered to general university students for fulfillment of a service-learning compulsory credit requirement. Here, a professional health subject is taught in a way that caters to generalist learners. Students gain basic skills they can apply to provide vision screenings for the needy population. All…

  13. An evaluation of the HM prison service "thinking skills programme" using psychometric assessments.

    Science.gov (United States)

    Gobbett, Matthew J; Sellen, Joselyn L

    2014-04-01

    The most widely implemented offending behaviour programme in the United Kingdom was Enhanced Thinking Skills (ETS), a cognitive-behavioural group intervention that aimed to develop participant's general cognitive skills. A new offending behaviour programme has been developed to replace ETS: the Thinking Skills Programme (TSP). This study reports an evaluation of the effectiveness of TSP using psychometric assessments. Phasing of the two programmes created an opportunity to compare the two programmes consecutively. Forty participants, 20 from each programme, completed a range of psychometric measures to examine cognition, attitudes, and thinking styles. Analysis of pre- and post-programme psychometric results indicated that participants of TSP demonstrated improvements on 14 of the 15 scales, 9 of which were statistically significant. Effect sizes between pre-post results were generally greater for TSP than ETS, demonstrating that TSP had a more positive impact on the thinking styles and attitudes of participants than the ETS programme.

  14. Services and programmes for teenage pregnancy and support for teenage mothers: Rural areas of Limpopo Province of South Africa and Slovenia

    Directory of Open Access Journals (Sweden)

    Glory Mmasetjana Lekganyane

    2014-09-01

    Full Text Available This article seeks to juxtapose the current services and programmes that deal with the prevention of teenage pregnancies and the teenage motherhood notion in South Africa and Slovenia. The paper looks at the situation in both countries and tries to detect the main problems in the two cases and therefore proposes changes on the basis of what is known about the two countries. In other words, we describe the situation, identify problems and suggest solutions. Teenage pregnancy and teenage motherhood are always viewed as inseparable and as a discourse that exists due to a variety of social and sociological variables. The notion of teenage pregnancy and teenage motherhood is assessed against related theories and scholastic (secondary evidence. Finally, it is argued that intervention services and programmes that are linked with the life perspective of teenagers and teenage mothers yield positive results.

  15. Mobile Phone Voting for Participation and Engagement in a Large Compulsory Law Course

    Science.gov (United States)

    Habel, Chad; Stubbs, Matthew

    2014-01-01

    This article reports on an action-research project designed to investigate the effect of a technological intervention on the complex interactions between student engagement, participation, attendance and preparation in a large lecture delivered as part of a compulsory first-year law course, a discipline which has not been the focus of any previous…

  16. Accessibility to tuberculosis control services and tuberculosis programme performance in southern Ethiopia

    Directory of Open Access Journals (Sweden)

    Mesay Hailu Dangisso

    2015-11-01

    Full Text Available Background: Despite the expansion of health services and community-based interventions in Ethiopia, limited evidence exists about the distribution of and access to health facilities and their relationship with the performance of tuberculosis (TB control programmes. We aim to assess the geographical distribution of and physical accessibility to TB control services and their relationship with TB case notification rates (CNRs and treatment outcome in the Sidama Zone, southern Ethiopia. Design: We carried out an ecological study to assess physical accessibility to TB control facilities and the association of physical accessibility with TB CNRs and treatment outcome. We collected smear-positive pulmonary TB (PTB cases treated during 2003–2012 from unit TB registers and TB service data such as availability of basic supplies for TB control and geographic locations of health services. We used ArcGIS 10.2 to measure the distance from each enumeration location to the nearest TB control facilities. A linear regression analysis was employed to assess factors associated with TB CNRs and treatment outcome. Results: Over a decade the health service coverage (the health facility–to-population ratio increased by 36% and the accessibility to TB control facilities also improved. Thus, the mean distance from TB control services was 7.6 km in 2003 (ranging from 1.8 to 25.5 km between kebeles (the smallest administrative units and had decreased to 3.2 km in 2012 (ranging from 1.5 to 12.4 km. In multivariate linear regression, as distance from TB diagnostic facilities (b-estimate=−0.25, p<0.001 and altitude (b-estimate=−0.31, p<0.001 increased, the CNRs of TB decreased, whereas a higher population density was associated with increased TB CNRs. Similarly, distance to TB control facilities (b-estimate=−0.27, p<0.001 and altitude (b-estimate=−0.30, p<0.001 were inversely associated with treatment success (proportion of treatment completed or cured cases

  17. Perceptions of Service Quality and Satisfaction of High Performance Programmes (HPP: A Case Study of a Comprehensive University in South Africa

    Directory of Open Access Journals (Sweden)

    P. Serra

    2016-01-01

    Full Text Available Sport is a multi-billion dollar industry that has become an important marketingtool toattracta higher calibre of students to universities.Studentsdo not onlyconsider the educational value a university can offer but alsowhat it can offer interms of advancing their sporting achievements and their sporting careers. Highperformance programmes (HPP which includesuperior facilities, highqualitycoaching and management staff, educational subsidies, body/health conditioningfacilities as well as supportive staff for the purpose of driving and maintaining ahigh calibre of development are required to assist students in meeting theirsporting aspirations. The aim of this study was to gain constructive insightsregarding perceptions ofservice quality and satisfaction of the different memberassociates of the High Performance Programmes (HPP of Rugby, Hockey,Soccer, Netball, Athletics, Rowing and Cricket at a comprehensive university inSouth Africa (SA. Aconcurrent mixed method approachwas used to collectdata.Ko and Pastore’s (2005 Scale of Service Quality in Recreational Sports(SSQRSwas used to collect the quantitative data from one hundred and nineteen(n=119 first team players. Qualitative data was collected throughsemi-structuredinterviews with the respective sport managers(n=7and team captains(n=7within each sport programme.Quantitative data was analysed usingthestatistical package for the social sciences (SPSS, whereas the qualitative data were analysed using the Atlas.tisoftware package. The results from the studyrevealedthat the service quality of theHPPranged from moderate to highindicating thatsome dimensions requiredattention.The study provided usefulinsights regarding service quality which couldassistthemanagement of the HPPsin developing effective strategies to maintain and improve the quality of theirservices.

  18. 21 CFR 870.1425 - Programmable diagnostic computer.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Programmable diagnostic computer. 870.1425 Section 870.1425 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES... diagnostic computer. (a) Identification. A programmable diagnostic computer is a device that can be...

  19. Employment and educational outcomes in early intervention programmes for early psychosis: a systematic review.

    Science.gov (United States)

    Bond, G R; Drake, R E; Luciano, A

    2015-10-01

    Young adults with early psychosis want to pursue normal roles - education and employment. This paper summarises the empirical literature on the effectiveness of early intervention programmes for employment and education outcomes. We conducted a systematic review of employment/education outcomes for early intervention programmes, distinguishing three programme types: (1) those providing supported employment, (2) those providing unspecified vocational services and (3) those without vocational services. We summarised findings for 28 studies. Eleven studies evaluated early intervention programmes providing supported employment. In eight studies that reported employment outcomes separately from education outcomes, the employment rate during follow-up for supported employment patients was 49%, compared with 29% for patients receiving usual services. The two groups did not differ on enrolment in education. In four controlled studies, meta-analysis showed that the employment rate for supported employment participants was significantly higher than for control participants, odds ratio = 3.66 [1.93-6.93], p < 0.0001. Five studies (four descriptive and one quasi-experimental) of early intervention programmes evaluating unspecified vocational services were inconclusive. Twelve studies of early intervention programmes without vocational services were methodologically heterogeneous, using diverse methods for evaluating vocational/educational outcomes and precluding a satisfactory meta-analytic synthesis. Among studies with comparison groups, 7 of 11 (64%) reported significant vocational/education outcomes favouring early intervention over usual services. In early intervention programmes, supported employment moderately increases employment rates but not rates of enrolment in education. These improvements are in addition to the modest effects early programmes alone have on vocational/educational outcomes compared with usual services.

  20. Ethnic variations in pathways to acute care and compulsory detention for women experiencing a mental health crisis.

    Science.gov (United States)

    Lawlor, Caroline; Johnson, Sonia; Cole, Laura; Howard, Louise M

    2012-01-01

    Much recent debate on excess rates of compulsory detention and coercive routes to care has focused on young black men; evidence is less clear regarding ethnic variations among women and factors that may mediate these. To explore ethnic variations in compulsory detentions of women, and to explore the potential role of immediate pathways to admission and clinician-rated reasons for admission as mediators of these differences. All women admitted to an acute psychiatric inpatient ward or a women's crisis house in four London boroughs during a 12-week period were included. Data were collected regarding their pathways to care, clinician-rated reasons for admission, hospital stays, and social and clinical characteristics. Two hundred and eighty seven (287) women from white British, white other, black Caribbean, black African and black other groups were included. Adjusting for social and clinical characteristics, all groups of black patients and white other patients were significantly more likely to have been compulsorily admitted than white British patients; white British patients were more likely than other groups to be admitted to a crisis house and more likely than all the black groups to be admitted because of perceived suicide risk. Immediate pathways to care differed: white other, black African and black other groups were less likely to have referred themselves in a crisis and more likely to have been in contact with the police. When adjustment was made for differences in pathways to care, the ethnic differences in compulsory admission were considerably reduced. There are marked ethnic inequities not only between white British and black women, but also between white British and white other women in experiences of acute admission. Differences between groups in help-seeking behaviours in a crisis may contribute to explaining differences in rates of compulsory admission.

  1. Compulsory Disclosure by Newsmen: The Implications of the Legal Heritage for the Contemporary Situation.

    Science.gov (United States)

    Eshelman, David

    In the almost 100 years of reported litigation pertaining to compulsory disclosure of news sources, the basic pleadings asserted in common law cases have included employer's regulations, professional ethics, self-incrimination, lack of jurisdictional authority, and relevancy. American courts have consistently denied an evidentiary privilege for…

  2. The Malawi National Tuberculosis Programme: an equity analysis

    Directory of Open Access Journals (Sweden)

    Chimzizi Rhehab

    2007-12-01

    Full Text Available Abstract Background Until 2005, the Malawi National Tuberculosis Control Programme had been implemented as a vertical programme. Working within the Sector Wide Approach (SWAp provides a new environment and new opportunities for monitoring the equity performance of the programme. This paper synthesizes what is known on equity and TB in Malawi and highlights areas for further action and advocacy. Methods A synthesis of a wide range of published and unpublished reports and studies using a variety of methodological approaches was undertaken and complemented by additional analysis of routine data on access to TB services. The analysis and recommendations were developed, through consultation with key stakeholders in Malawi and a review of the international literature. Results The lack of a prevalence survey severely limits the epidemiological knowledge base on TB and vulnerability. TB cases have increased rapidly from 5,334 in 1985 to 28,000 in 2006. This increase has been attributed to HIV/AIDS; 77% of TB patients are HIV positive. The age/gender breakdown of TB notification cases mirrors the HIV epidemic with higher rates amongst younger women and older men. The WHO estimates that only 48% of TB cases are detected in Malawi. The complexity of TB diagnosis requires repeated visits, long queues, and delays in sending results. This reduces poor women and men's ability to access and adhere to services. The costs of seeking TB care are high for poor women and men – up to 240% of monthly income as compared to 126% of monthly income for the non-poor. The TB Control Programme has attempted to increase access to TB services for vulnerable groups through community outreach activities, decentralising DOT and linking with HIV services. Conclusion The Programme of Work which is being delivered through the SWAp is a good opportunity to enhance equity and pro-poor health services. The major challenge is to increase case detection, especially amongst the poor

  3. GMES Space Component: Programme overview

    Science.gov (United States)

    Aschbacher, J.; Milagro-Perez, M. P.

    2012-04-01

    The European Union (EU) and the European Space Agency (ESA) have developed the Global Monitoring for Environment and Security (GMES) programme as Europe's answer to the vital need for joined-up data about our climate, environment and security. Through a unique combination of satellite, atmospheric and Earth-based monitoring systems, the initiative will provide new insight into the state of the land, sea and air, providing policymakers, scientists, businesses and the public with accurate and timely information. GMES capabilities include monitoring and forecasting of climatic change, flood risks, soil and coastal erosion, crop and fish resources, air pollution, greenhouse gases, iceberg distribution and snow cover, among others. To accomplish this, GMES has been divided into three main components: Space, In-situ and Services. The Space Component, led by ESA, comprises five types of new satellites called Sentinels that are being developed by ESA specifically to meet the needs of GMES, the first of which to be launched in 2013. These missions carry a range of technologies, such as radar and multi-spectral imaging instruments for land, ocean and atmospheric monitoring. In addition, access to data from the so-called Contributing Missions guarantees that European space infrastructure is fully used for GMES. An integrated Ground Segment ensures access to Sentinels and Contributing Missions data. The in-situ component, under the coordination of the European Environment Agency (EEA), is composed of atmospheric and Earth based monitoring systems, and based on established networks and programmes at European and international levels. The European Commission is in charge of implementing the services component of GMES and of leading GMES overall. GMES services, fed with data from the Space and In-situ components, will provide essential information in five main domains, atmosphere, ocean and land monitoring as well as emergency response and security. Climate change has been added

  4. The Anatomy of Privatization Programme in Nigeria: Matters Arising ...

    African Journals Online (AJOL)

    The paper traced the origin and reasons for privatization programmes in Nigeria to the alleged inefficiency and low productivity services in the system. The paper went on to state that 28 years had passed since the programme was inaugurated, yet Nigerians are still to fully realize the benefits of privatization programmes ...

  5. Shaping a New Service Design Programme

    DEFF Research Database (Denmark)

    Morelli, Nicola; Götzen, Amalia De

    2014-01-01

    The growing interest in service design is calling for specific education programs, at a moment in which the framework for the discipline itself is still under construction. Service Design represents a quite complex domain: a service design education should include insights from management, system...

  6. Computer Science Education in Secondary Schools--The Introduction of a New Compulsory Subject

    Science.gov (United States)

    Hubwieser, Peter

    2012-01-01

    In 2004 the German state of Bavaria introduced a new compulsory subject of computer science (CS) in its grammar schools ("Gymnasium"). The subject is based on a comprehensive teaching concept that was developed by the author and his colleagues during the years 1995-2000. It comprises mandatory courses in grades 6/7 for all students of…

  7. The Unified Patent Court (UPC), Compulsory Licensing and Competition Law

    DEFF Research Database (Denmark)

    Petersen, Clement Salung; Riis, Thomas; Schovsbo, Jens Hemmingsen

    2014-01-01

    Competition law and rules on compulsory licensing are considered as indispensable instruments to balance patent rights. In this article, we examine the room for using such balancing instruments in the context of the UPC. We analyse whether the balancing instruments will remain applicable...... that the UPC is likely to be less inclined to use them. To redress that problem we suggest that the UPC acknowledges the institutional biases of the court and looks for ways to include other values and interests than the proprietary values and interests of patent law....

  8. Development of loyalty programmes in the hotel industry

    OpenAIRE

    Laškarin, Marina

    2013-01-01

    Purpose – In the very beginning when loyalty programmes were being developed, hoteliers were mostly involved as partners of airline companies. However, once they realized the obvious numerous advantages that airlines were gaining, hoteliers began to design their own loyalty programmes. The idea of a loyalty programme is to strike a balance between what guests want and what is offered to them as a reward, and to find other programme partners whose services guests will also use. This paper will...

  9. A falls prevention programme to improve quality of life, physical function and falls efficacy in older people receiving home help services: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Bjerk, Maria; Brovold, Therese; Skelton, Dawn A; Bergland, Astrid

    2017-08-14

    Falls and fall-related injuries in older adults are associated with great burdens, both for the individuals, the health care system and the society. Previous research has shown evidence for the efficiency of exercise as falls prevention. An understudied group are older adults receiving home help services, and the effect of a falls prevention programme on health-related quality of life is unclear. The primary aim of this randomised controlled trial is to examine the effect of a falls prevention programme on quality of life, physical function and falls efficacy in older adults receiving home help services. A secondary aim is to explore the mediating factors between falls prevention and health-related quality of life. The study is a single-blinded randomised controlled trial. Participants are older adults, aged 67 or older, receiving home help services, who are able to walk with or without walking aids, who have experienced at least one fall during the last 12 months and who have a Mini Mental State Examination of 23 or above. The intervention group receives a programme, based on the Otago Exercise Programme, lasting 12 weeks including home visits and motivational telephone calls. The control group receives usual care. The primary outcome is health-related quality of life (SF-36). Secondary outcomes are leg strength, balance, walking speed, walking habits, activities of daily living, nutritional status and falls efficacy. All measurements are performed at baseline, following intervention at 3 months and at 6 months' follow-up. Sample size, based on the primary outcome, is set to 150 participants randomised into the two arms, including an estimated 15-20% drop out. Participants are recruited from six municipalities in Norway. This trial will generate new knowledge on the effects of an exercise falls prevention programme among older fallers receiving home help services. This knowledge will be useful for clinicians, for health managers in the primary health care service

  10. Reshaping the DCC Institutional Engagement Programme

    Directory of Open Access Journals (Sweden)

    Sarah Jones

    2014-10-01

    Full Text Available This paper shares results from the Digital Curation Centre’s programme of Institutional Engagements (IEs, and describes how we continue to provide tailored support on Research Data Management (RDM to the UK higher education sector.Between Spring 2011 and Spring 2013, the DCC ran a series of 21 Institutional Engagements. The engagement programme involved helping institutions to assess their needs, develop policy and strategy, and begin to implement a range of RDM services.We have conducted a synthesis and evaluation of the programme, analysing the types of assistance requested and the impact of our support. The findings and lessons to emerge from these exercises have informed our future strategy and helped reshape the programme.

  11. The pursuit of excellence and innovation in service user involvement in nurse education programmes: report from a travel scholarship.

    Science.gov (United States)

    Terry, Julia M

    2013-05-01

    The involvement of service users and carers in nurse education is increasing, with the new standards for pre-registration nurse education in the UK, which require nurse education providers to demonstrate how they are involving users and carers in the planning, delivery, teaching and evaluation of nursing curricula (Nursing and Midwifery Council, 2010). A travel scholarship provided the opportunity to explore best practice in this area, focussing on identifying support systems and processes that enable user involvement. The scholarship was undertaken in the UK and Ireland during a 4 week study tour between June and July 2011, during which I visited 15 universities, and met with nurse education staff, users and carers involved in nurse education programmes. Prerequisite processes, the spectrum and variety of involvement activities, quality assurance and evaluation; and sustainability of user involvement in nurse education are reported in this paper. Service users and carers are an under-utilised resource, and as experts by experience have much to offer students and staff by increased involvement in nurse education programmes. The importance of values, enthusiasm and relationships, the cornerstones that strengthen user involvement; often sustain such partnerships. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Final draft consultants report. Consultants' meeting on requirements for reference materials and intercomparison runs - IAEA programme on Analytical Quality Control Services (AQCS), 17-21 April 1994, Kona, HI, USA

    International Nuclear Information System (INIS)

    2002-01-01

    The purpose of the meeting was to define the aims of the Agency's Analytical Quality Control Services (AQCS) programme in view of its uniqueness as an international programme and to establish objectives for the organization of intercomparison runs and production of reference materials and the Agency's services to Member States in future years. This draft report contains the meeting agenda and recommendations made by the consultants. The recommendations are grouped as follows: Mission Statement; Laboratory Qualification; Training and Development; Resources and Technical Concepts; Standing Group of Experts

  13. Reflect before you act: providing structure to the evaluation of rehabilitation programmes.

    Science.gov (United States)

    Velema, Johan P; Cornielje, Huib

    2003-11-18

    This paper is concerned with understanding and evaluating potentially diverse rehabilitation programmes. It helps evaluators and programme managers to focus attention on specific aspects of the rehabilitation process and select evaluation questions relevant to each. Distinction is made between the rehabilitation programme itself, the programme environment and the relationships between the two. For each of these areas, evaluation questions have been formulated. For services offered to individual clients, questions address whether the status of clients has improved, what interventions are offered and who benefit from them, the relationships between the service providers and the clients, and who may be involved in the rehabilitation process besides the client. To assess the programme environment, questions address the epidemiology of disability, the resources available to persons with disabilities, the inclusiveness of education and employment and a number of eco-social variables. Relationships between the programme and its environment concern the support of the community for the programme, the way the programme seeks to influence the community, the referral of clients to other services available in the community and the extent to which the programme is a learning organization. Lists of evaluation questions are presented from which the evaluator can select those most relevant to the programme to be evaluated. This provides a framework for the evaluation and for the information to be gathered. Rather than providing a blue print, this framework permits flexibility to adapt to the specific situation of the programme to be evaluated. This paper presents a useful guideline that stimulates the thinking of those preparing for the evaluation of rehabilitation programmes.

  14. 76 FR 590 - Adjustment or Determination of Compulsory License Rates for Making and Distributing Phonorecords

    Science.gov (United States)

    2011-01-05

    ... $150 filing fee, must be addressed to: Copyright Royalty Board, P.O. Box 70977, Washington, DC 20024... LIBRARY OF CONGRESS Copyright Royalty Board [Docket No. 2011-3 CRB Phonorecords II] Adjustment or Determination of Compulsory License Rates for Making and Distributing Phonorecords AGENCY: Copyright Royalty...

  15. 38 CFR 1.468 - Relationship to Federal statutes protecting research subjects against compulsory disclosure of...

    Science.gov (United States)

    2010-07-01

    ... Information from Department of Veterans Affairs (va) Records Relating to Drug Abuse, Alcoholism Or Alcohol... on the Attorney General, respectively, the power to authorize researchers conducting certain types of... statutes protecting research subjects against compulsory disclosure of their identity. 1.468 Section 1.468...

  16. 77 FR 34211 - Modification of Multiple Compulsory Reporting Points; Continental United States, Alaska and Hawaii

    Science.gov (United States)

    2012-06-11

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 71 [Docket No. FAA-2012-0130; Airspace Docket No. 12-AWA-2] RIN 2120-AA66 Modification of Multiple Compulsory Reporting Points; Continental United States, Alaska and Hawaii AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final...

  17. [Methods in health services research. The example of the evaluation of the German disease management programmes].

    Science.gov (United States)

    Morfeld, M; Wirtz, M

    2006-02-01

    According to the established definition of Pfaff, health services research analyses patients' path through the institutions of the health care system. The focus is on development, evaluation and implementation of innovative measures of health care. By increasing its quality health services research strives for an improvement of efficacy and efficiency of the health care system. In order to allow for an appropriate evaluation it is essential to differentiate between structure, process and outcome quality referring to (1) the health care system in its entirety, (2) specific health care units as well as (3) processes of communication in different settings. Health services research comprises a large array of scientific disciplines like public health, medicine, social sciences and social care. For the purpose of managing its tasks adequately a special combination of instruments and methodological procedures is needed. Thus, diverse techniques of evaluation research as well as special requirements for study designs and assessment procedures are of vital importance. The example of the German disease management programmes illustrates the methodical requirements for a scientific evaluation.

  18. The Impact of Adventure Based Activity at Malaysian National Service Training Programme on Team Cohesion: A Demographic Analysis.

    OpenAIRE

    Jaffry Zakaria; Mazuki Mohd Yasim; Md Amin Md Taff

    2012-01-01

    The present study examines the effects of physical module elements (adventure based activity) included in the Malaysian National Service Programme and to investigate the socio-demographic variables impact on team cohesion building among the participants. In this study, the participants were selected from three different camps, namely, Tasoh camp, Guar Chenderai camp and Meranti camp, located in the state of Perlis, Malaysia. The participants were those from the second batch intake in the yea...

  19. An assessment of the radiation protection programme within a major multi-national oil service company

    International Nuclear Information System (INIS)

    Nelis, P.; Simpkin, P.; Christie, K.

    2002-01-01

    In this paper we are going to look at the radiation protection programme which has been developed within one of the corporation's newer operating divisions, Baker Hughes INTEQ, which is a major supplier of drilling and real-time formation evaluation services. These enable the company to steer and drill complex wells, in the most challenging down-hole environments, into multiple target zones in oil and gas reservoirs. We will focus here on INTEQ's measurement while drilling or MWD services. These provide precise well navigation information and evaluation of the formation being drilled through, in real time, to the rig operators. Prior to the development of MWD technology, such information could only be obtained by lowering equipment into the hole after the drill had been removed, using wireline logging techniques. MWD tools carrying radioactive sources, commonly known in the oil field, albeit incorrectly, as nuclear tools, provide information on the density and porosity of the underground formation being drilled through

  20. High-dosage dosimetry programme of the IAEA

    International Nuclear Information System (INIS)

    Mehta, K.

    1999-01-01

    The high-dose dosimetry programme was initiated by the International Atomic Energy Agency in 1977. Like any other Agency programme, this one has various activities. These cover: research contracts and research agreements, co-ordinated research projects (CRP), training courses, and laboratory-based activities. The Agency's dose quality audit service (International Dose Assurance Service, IDAS), initiated in 1985, is one of the key elements of the programme. At earlier times, the technical part was operated through a laboratory in Germany. However, after purchasing the Bruker ESR spectrometer, the entire service has been operated from the Agency since 1992. This audit service has served well the needs of various institutes around the world involved with radiation processing. We have had two Co-ordinated Research Projects (the second one is in its last year) over the last several years. Both were/are aimed at standardization of dosimetry for radiation processing. Nine or ten participants of each CRP were about evenly distributed between the developed and developing Member States. In collaboration with the Food and Environmental Protection Section and the Industrial Applications and Chemistry Section, the Dosimetry and Medical Radiation Physics Section has participated in several training courses; these have been mainly regional courses. This collaboration has worked well since such courses combine specific radiation processing applications with the needs of good dosimetry and process control. Also, the Agency has organised several dose intercomparisons in recent time. The activities of the high-dose dosimetry programme since the last symposium (November 1990) are reviewed here. (author)

  1. Critical look at South Africa’s Green Drop Programme

    CSIR Research Space (South Africa)

    Ntombela, Cebile

    2016-10-01

    Full Text Available (WSAs) in the controversial wastewater services sector. In particular, we focus on DWS’s incentive-based mechanism, the National Green Drop Certification Programme (Green Drop Programme), and evaluate the achievements and challenges associated with its...

  2. Personnel radiation dosimetry laboratory accreditation programme for thermoluminescent dosimeters : a proposal

    International Nuclear Information System (INIS)

    Bhatt, B.C.; Srivastava, J.K.; Iyer, P.S.; Venkatraman, G.

    1993-01-01

    Accreditation for thermoluminescent dosimeters is the process of evaluating a programme intending to use TL personnel dosimeters to measure, report and record dose equivalents received by radiation workers. In order to test the technical competence for conducting personnel dosimetry service as well as to decentralize personnel monitoring service, it has been proposed by Radiological Physics Division (RPhD) to accredit some of the laboratories, in the country. The objectives of this accreditation programme are: (i) to give recognition to competent dosimetry processors, and (ii) to provide periodic evaluation of dosimetry processors, including review of internal quality assurance programme to improve the quality of personnel dosimetry processing. The scientific support for the accreditation programme will be provided by the scientific staff from Radiological Physics Division (RPhD) and Radiation Protection Services Division (RPSD). This paper describes operational and technical requirements for the Personnel Radiation Dosimetry Laboratory Accreditation Programme for Thermoluminescent Dosimeters for Personnel Dosimetry Processors. Besides, many technical documents dealing with the TL Personnel Dosimeter System have been prepared. (author). 5 refs., 2 figs

  3. Compulsory teaching of occupational health: impact on attitude of medical students in Brazil and Germany

    NARCIS (Netherlands)

    Russ, Paul; Strümpell, Stephanie; Carvalho, Denise; Zander, Sabrina; Smits, Paul; Nowak, Dennis; Radon, Katja

    2012-01-01

    Purpose To assess medical students' attitude toward occupational health (OH) in Brazil and Germany before and after a compulsory OH course. Methods A questionnaire regarding the attitude toward OH was completed by medical students at the beginning of the OH teaching term at the Federal University of

  4. Prosocial behavior and self-concept of Spanish students of Compulsory Secondary Education

    OpenAIRE

    Inglés, Cándido J.; Martínez-González, Agustín Ernesto; García-Fernández, José Manuel; Torregrosa, María S.; Ruiz Esteban, Cecilia

    2012-01-01

    This study analyzed the relationship between prosocial behavior and self-concept dimensions in a sample of 2022 Spanish students (51.1% males) of Compulsory Secondary Education. The prosocial behavior was measured with the Prosocial Behavior scale of the Teenage Inventory of Social Skills (TISS) and the self-concept was measured with the Self-Description Questionnaire-II (SDQ-II). Logistic regression analyses revealed that prosocial behavior is a positive and significant statistically predict...

  5. The Sexuality Education Initiative: a programme involving teenagers, schools, parents and sexual health services in Los Angeles, CA, USA.

    Science.gov (United States)

    Marques, Magaly; Ressa, Nicole

    2013-05-01

    In response to abstinence-only programmes in the United States that promote myths and misconceptions about sexuality and sexual behaviour, the comprehensive sexuality education community has been sidetracked from improving the sexuality education available in US schools for almost two decades now. Much work is still needed to move beyond fear-based approaches and the one-way communication of information that many programmes still use. Starting in 2008 Planned Parenthood Los Angeles developed and launched a teen-centred sexuality education programme based on critical thinking, human rights, gender equality, and access to health care that is founded on a theory of change that recognises the complex relationship between the individual and broader environment of cultural norms, socio-economic inequalities, health disparities, legal and institutional factors. The Sexuality Education Initiative is comprised of a 12-session classroom sexuality education curriculum for ninth grade students; workshops for parents; a peer advocacy training programme; and access to sexual health services. This paper describes that experience and presents the rights-based framework that was used, which seeks to improve the learning experience of students, strengthen the capacity of schools, teachers and parents to help teenagers manage their sexuality effectively and understand that they have the right to health care, education, protection, dignity and privacy. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  6. Evaluating a Special Education Training Programme in Nicaragua

    Science.gov (United States)

    Delkamiller, Julie; Swain, Kristine D.; Ritzman, Mitzi J.; Leader-Janssen, Elizabeth M.

    2016-01-01

    This study examined a two-year special education and inclusive practices in-service training programme with a university in Nicaragua. Participants included 14 teachers from nine schools in Nicaragua. Participants' knowledge of special education concepts were evaluated as part of assessing the training modules. In addition, programme evaluation…

  7. Compulsory creativity – a critique of cognitive capitalism

    DEFF Research Database (Denmark)

    Larsen, Steen Nepper

    2014-01-01

    Contemporary capitalism can be labelled cognitive capitalism. In this dynamic, demanding and extremely transformative mode of production, knowledge becomes a strategic force of production and an important commodity, while concepts and ideas become items. This article sheds light on some...... of the implications of the emergence of a cognitive capitalism. In response to modern oxymorons, such as compulsory creativity and mandatory originality, this article offers various attempts to interpret and criticise how human inventiveness and a whole range of externalities get attuned to economic and market...... strategies, depriving them their natural, social and individual qualities. The aim of this article is to renew and sharpen a critique of the new type of capitalism and to foster some normative bricks that might be able to inspire alternative ways of thinking and living. Keywords: Cognitive capitalism...

  8. Measuring the Long-Term Effectiveness of a Compulsory Approach to Behaviour Change: Analysis of the "Say No to Plastic Bag" Campaign at the Universiti Sains Malaysia

    Science.gov (United States)

    Mustafa, Hasrina; Yusoff, Ronzi Mohd

    2011-01-01

    This research looked into the effectiveness of a campaign at the Universiti Sains Malaysia for a compulsory ban on disposable plastics. Although there was high awareness of the "Say No to Plastic Bags" bags campaign, and moderate compliance on campus, we wondered whether a compulsory approach would maintain the desired behaviours off…

  9. Establishing and maintaining a measurement uncertainty programme at the RPII dosimetry and calibration service

    International Nuclear Information System (INIS)

    Spain, D.; Currivan, L.; Fitzgerald, H.; Pollard, D.

    2005-01-01

    Full text: At the Dosimetry and Calibration Service of the Radiological Protection Institute of Ireland (RPII) approximately 70,000 thermoluminescent dosemeters (TLDs) are issued each year to monitor occupationally exposed workers in Ireland. In addition the service offers a calibration service for radiation survey meters, contamination monitors and electronic personal dosemeters. In order to meet the requirements of ISO/IEC 17025, it is necessary to quantify the uncertainty of measurement using well defined concepts and to maintain an up to date estimate. In this work it is shown how the measurement uncertainty in the Dosimetry and Calibration Service has been estimated. When estimating the uncertainty of measurement, all uncertainty components which are of importance in the given situation are taken into account. The combined uncertainty of the system is determined by considering a number of systematic and random errors. The analysis will include assumptions made and these have been documented and justified. Components of uncertainty were determined in accordance with such documents as IEC 61066, Guide to Expression of Uncertainty in Measurement, and the National Physical Laboratory Measurement Good Practice Guide No. 11, as appropriate. Results of intercomparisons are also presented, which adds confidence to the uncertainty estimate. Although a great deal of work is involved is estimating uncertainty in both laboratories it is felt that a reasonable estimate of measurement uncertainty has been achieved given the available information. Furthermore, in keeping with the laboratory's commitment to continuous improvement, it is necessary to evaluate periodically the measurement uncertainties associated with the relevant procedures and a programme for the future is outlined. (author)

  10. The School Health Programme : A Situational Revisit. | Akani ...

    African Journals Online (AJOL)

    School Health Programme (SHP) refers to all the aspects of the total school programme which contribute to the understanding, maintenance and improvement of the health of the population, i.e. school children and staff. It consists of three main areas namely: school health services, school health instruction and healthful ...

  11. When Learning English is Compulsory at School:

    Directory of Open Access Journals (Sweden)

    Maryam Azarnoosh

    2014-11-01

    Full Text Available Research findings highlight the role of motivation in the long-term process of learning a second/foreign language. One’s motivation can change even in a short period of time under the influence of multifarious factors. To enrich our understanding of the attitudinal/motivational basis of foreign language learning this study attempts to investigate L2 motivational fluctuation, and the possibility of predicting EFL learners’ motivated learning behavior in light of Dörnyei’s (2005, 2009 theory of L2 motivational self system. To this end, 1670 junior high and high school students studying English as a compulsory subject in Iran filled out L2 motivational self system questionnaire. Independent samples t-test and regression analyses were applied; and the findings indicated a higher motivational disposition for junior high school students in comparison to high school students, except for their attitudes towards L2 community. For both groups, attitudes towards L2 learning was the best predictor of students motivated learning behavior.

  12. Competent statistical programmer: Need of business process outsourcing industry

    Science.gov (United States)

    Khan, Imran

    2014-01-01

    Over the last two decades Business Process Outsourcing (BPO) has evolved as much mature practice. India is looked as preferred destination for pharmaceutical outsourcing over a cost arbitrage. Among the biometrics outsourcing, statistical programming and analysis required very niche skill for service delivery. The demand and supply ratios are imbalance due to high churn out rate and less supply of competent programmer. Industry is moving from task delivery to ownership and accountability. The paradigm shift from an outsourcing to consulting is triggering the need for competent statistical programmer. Programmers should be trained in technical, analytical, problem solving, decision making and soft skill as the expectations from the customer are changing from task delivery to accountability of the project. This paper will highlight the common issue SAS programming service industry is facing and skills the programmers need to develop to cope up with these changes. PMID:24987578

  13. Competent statistical programmer: Need of business process outsourcing industry.

    Science.gov (United States)

    Khan, Imran

    2014-07-01

    Over the last two decades Business Process Outsourcing (BPO) has evolved as much mature practice. India is looked as preferred destination for pharmaceutical outsourcing over a cost arbitrage. Among the biometrics outsourcing, statistical programming and analysis required very niche skill for service delivery. The demand and supply ratios are imbalance due to high churn out rate and less supply of competent programmer. Industry is moving from task delivery to ownership and accountability. The paradigm shift from an outsourcing to consulting is triggering the need for competent statistical programmer. Programmers should be trained in technical, analytical, problem solving, decision making and soft skill as the expectations from the customer are changing from task delivery to accountability of the project. This paper will highlight the common issue SAS programming service industry is facing and skills the programmers need to develop to cope up with these changes.

  14. Competent statistical programmer: Need of business process outsourcing industry

    Directory of Open Access Journals (Sweden)

    Imran Khan

    2014-01-01

    Full Text Available Over the last two decades Business Process Outsourcing (BPO has evolved as much mature practice. India is looked as preferred destination for pharmaceutical outsourcing over a cost arbitrage. Among the biometrics outsourcing, statistical programming and analysis required very niche skill for service delivery. The demand and supply ratios are imbalance due to high churn out rate and less supply of competent programmer. Industry is moving from task delivery to ownership and accountability. The paradigm shift from an outsourcing to consulting is triggering the need for competent statistical programmer. Programmers should be trained in technical, analytical, problem solving, decision making and soft skill as the expectations from the customer are changing from task delivery to accountability of the project. This paper will highlight the common issue SAS programming service industry is facing and skills the programmers need to develop to cope up with these changes.

  15. The Ideology of Innovation Education and Its Emergence as a New Subject in Compulsory Schools

    Science.gov (United States)

    Jonsdottir, Svanborg R.; Thorsteinsson, Gisli; Page, Tom

    2008-01-01

    Innovation Education and Practical Use of Knowledge was introduced into the Icelandic National Curriculum for compulsory schools in 1999, where it is defined by the curriculum writers as a "school subject" but is not allocated any direct time in the recommended guidelines for subjects. This paper describes a master's research project…

  16. Assessment of an Innovative Voluntary Substance Abuse Treatment Program Designed to Replace Compulsory Drug Detention Centers in Malaysia.

    Science.gov (United States)

    Khan, Farrah; Krishnan, Archana; Ghani, Mansur A; Wickersham, Jeffrey A; Fu, Jeannia J; Lim, Sin How; Dhaliwal, Sangeeth Kaur; Kamarulzaman, Adeeba; Altice, Frederick L

    2018-01-28

    As part of an ongoing initiative by the Malaysian government to implement alternative approaches to involuntary detention of people who use drugs, the National Anti-Drug Agency has created new voluntary drug treatment programs known as Cure and Care (C&C) Centers that provide free access to addiction treatment services, including methadone maintenance therapy, integrated with social and health services.   We evaluated early treatment outcomes and client satisfaction among patients accessing C&C treatment and ancillary services at Malaysia's second C&C Center located in Kota Bharu, Kelantan. In June-July 2012, a cross-sectional convenience survey of 96 C&C inpatients and outpatients who entered treatment >30 days previously was conducted to assess drug use, criminal justice experience, medical co-morbidities, motivation for seeking treatment, and attitudes towards the C&C. Drug use was compared for the 30-day-period before C&C entry and the 30-day-period before the interview. Self-reported drug use levels decreased significantly among both inpatient and outpatient clients after enrolling in C&C treatment. Higher levels of past drug use, lower levels of social support, and more severe mental health issues were reported by participants who were previously imprisoned. Self-reported satisfaction with C&C treatment services was high. Conclusions/Importance: Preliminary evidence of reduced drug use and high levels of client satisfaction among C&C clients provide support for Malaysia's ongoing transition from compulsory drug detention centers (CDDCs) to these voluntary drug treatment centers. If C&C centers are successful, Malaysia plans to gradually transition away from CDDCs entirely.

  17. Posters as assessment strategies: focusing on service users.

    Science.gov (United States)

    Crawley, Loretta; Frazer, Kate

    This article debates whether posters as an assessment strategy in health professionals' education programmes can benefit learners, academics, and service users. Evidence suggests that service-user involvement benefits learning by developing students' communication, partnership and advocacy skills. The authors debate the value of posters as an assessment strategy in postgraduate diploma nursing programmes delivered in an Irish School of Nursing, Midwifery and Health Systems. It is argued that assessment strategies should not only examine programme theory and practice but should also benefit the people that will be using the service. Although the assessment strategy used in these programmes aimed to benefit service users, additional work is required for assessment to be truly inclusive of service users.

  18. Development of national immunoassay reagent programmes

    International Nuclear Information System (INIS)

    Sufi, S.B.; Micallef, J.V.; Ahsan, R.; Goncharov, N.P.

    1992-01-01

    Despite the existence of networks of fully equipped laboratories with well-trained staff, the availability of immunodiagnostic services in developing countries is often limited by the high cost of imported kits. There are a number of ways of tackling this problem, ranging from bulk purchase of kits or reagents to local development and production of assay systems. Argentina/Chile, China, Cuba/Mexico, and Thailand are amongst the countries which have established local immunoassay reagent programmes to manufacture low cost, high quality immunoassay reagents. Kits from these projects are now beginning to become available, and it is hoped that they will promote national diagnostic services and research, as well as stimulating the development of reagent programmes for other analytes. (author). 4 refs, 1 tab

  19. Health programmes for school employees: improving quality of life, health and productivity.

    Science.gov (United States)

    Kolbe, Lloyd J; Tirozzi, Gerald N; Marx, Eva; Bobbitt-Cooke, Mary; Riedel, Sara; Jones, Jack; Schmoyer, Michael

    2005-01-01

    School health programmes in the 21st century could include eight components: 1) health services; 2) health education; 3) healthy physical and psychosocial environments; 4) psychological, counselling, and social services; 5) physical education and other physical activities; 6) healthy food services; and 7) integrated efforts of schools, families, and communities to improve the health of school students and employees. The eighth component of modern school health programmes, health programmes for school employees, is the focus of this article. Health programmes for school employees could be designed to increase the recruitment, retention, and productivity of school employees by partially focusing each of the preceding seven components of the school health programme on improving the health and quality of life of school employees as well as students. Thus, efforts to improve the quality of life, health, and productivity of school employees may be distinct from, but integrated with, efforts to improve the quality of life, health, and education of students. School employee health programmes can improve employee: 1) recruitment; 2) morale; 3) retention; and 4) productivity. They can reduce employee: 5) risk behaviours (e.g., physical inactivity); 6) risk factors (e.g., stress, obesity, high blood pressure); (7) illnesses; 8) work-related injuries; 9) absentee days; 10) worker compensation and disability claims; and 11) health care and health insurance costs. Further, if we hope to improve our schools' performance and raise student achievement levels, developing effective school employee health programmes can increase the likelihood that employees will: 12) serve as healthy role models for students; 13) implement effective school health programmes for students; and 14) present a positive image of the school to the community. If we are to improve the quality of life, health, and productivity of school employees in the 21st century: school administrators, employees, and

  20. Barriers and facilitators for implementing programmes and services to address hyperglycaemia in pregnancy in low and middle income countries: A systematic review.

    Science.gov (United States)

    Kragelund Nielsen, Karoline; Damm, Peter; Bygbjerg, Ib C; Kapur, Anil

    2018-04-21

    An estimated 87.6% of hyperglycaemia in pregnancy cases are in low and middle income countries (LMICs). The aim of this study is to review the evidence on barriers and facilitators to programmes and services addressing hyperglycaemia in pregnancy in LMICs. A systematic review and narrative synthesis was conducted based on searches in PubMed. A total of 23 qualitative and quantitative studies were included. Barriers and facilitators exist at the health system level, individual level and social and societal levels and are often interacting. At the health system level they relate to capacity in terms of human and material resources; availability of feasible and appropriate guidelines; organisational management and referral pathways. Individual level barriers and facilitators include knowledge; risk perception; illness beliefs; financial condition; work obligations; concerns for the baby and hardship associated with services. At the social and societal level important factors are: perceptions and norms related to women's roles, mobility and health; the knowledge and support of women's social network; and structural aspects. Numerous factors influence programmes and services addressing hyperglycaemia in pregnancy in LMICs. Thus, several components are needed to ensure detection, treatment and follow-up of women with hyperglycaemia in pregnancy. Copyright © 2018 Elsevier B.V. All rights reserved.

  1. Use of programme budgeting and marginal analysis to set priorities for local NHS dental services: learning from the north east of England.

    Science.gov (United States)

    Holmes, R D; Steele, J G; Exley, C; Vernazza, C R; Donaldson, C

    2018-05-03

    Priority setting is necessary where competing demands exceed the finite resources available. The aim of the study was to develop and test a prioritization framework based upon programme budgeting and marginal analysis (PBMA) as a tool to assist National Health Service (NHS) commissioners in their management of resources for local NHS dental services. Twenty-seven stakeholders (5 dentists, 8 commissioners and 14 patients) participated in a case-study based in a former NHS commissioning organization in the north of England. Stakeholders modified local decision-making criteria and applied them to a number of different scenarios. The majority of financial resources for NHS dental services in the commissioning organization studied were allocated to primary care dental practitioners' contracts in perpetuity, potentially constraining commissioners' abilities to shift resources. Compiling the programme budget was successful, but organizational flux and difficulties engaging local NHS commissioners significantly impacted upon the marginal analysis phase. NHS dental practitioners' contracts resemble budget-silos which do not facilitate local resource reallocation. 'Context-specific' factors significantly challenged the successful implementation and impact of PBMA. A local PBMA champion embedded within commissioning organizations should be considered. Participants found visual depiction of the cost-value ratio helpful during their initial priority setting deliberations.

  2. The indirect and direct pathways between physical fitness and academic achievement on commencement in post-compulsory education in a historical cohort of Danish school youth

    DEFF Research Database (Denmark)

    Andersen, Mikkel Porsborg; Starkopf, Liis; Sessa, Maurizio

    2017-01-01

    Background: Some studies have found positive associations between physical fitness and academic achievements. Pupils' academic achievements should indicate scholastic abilities to commence a post-compulsory education. However, the effect magnitude of physical fitness and academic achievements...... on commencement in post-compulsory education is unknown. We examined the pathways between physical fitness and academic achievement on pupils' commencement in post-compulsory education. Methods: This historical cohort study followed 530 girls and 554 boys from the Danish municipality of Aalborg in the period 2008......-2014, 13 to 15 years old in 2010. Physical fitness was assessed through a watt-max cycle ergometer test represented as VO2max (mL·kg-1·min-1). Academic achievement, commencement status and information on covariates were obtained from Danish nationwide registers. Causal inference based mediation analysis...

  3. IAEA-MEL's AQCS programme for marine radioactivity measurements

    International Nuclear Information System (INIS)

    Povinec, P.P.; Gastaud, J.; Pham, M.K.

    1999-01-01

    The main objectives of the IAEA-MEL's Analytical Quality Control Services (AQCS) for marine radioactivity measurements are discussed and future plans for the organization of intercomparison exercises and the production of certified reference materials are presented. The new developments should also include implementation of quality assurance programmes in Member States' laboratories, training in quality management and accreditation programmes. (author)

  4. Using the Theory of Planned Behaviour to Understand Students' Subject Choices in Post-Compulsory Education

    Science.gov (United States)

    Taylor, Rachel Charlotte

    2015-01-01

    In recent years, there have been concerns in the UK regarding the uptake of particular subjects in post-compulsory education. Whilst entries for Advanced level (A-level) subjects such as media studies have experienced considerable growth, entries for A-level physics have, until recently, been declining, prompting fears of a skills crisis in future…

  5. If it works there, will it work here? The effect of a multi-component responsible beverage service (RBS) programme on violence in Oslo.

    Science.gov (United States)

    Skardhamar, Torbjørn; Fekjær, Silje Bringsrud; Pedersen, Willy

    2016-12-01

    The Stockholm Prevents Alcohol and Drug Problems (STAD) programme has been regarded as one of the most successful programmes to date, in reducing alcohol-related violence. This multi-component Responsible Beverage Service (RBS) programme was implemented in Stockholm, Sweden, and has been documented to be extremely effective in reducing alcohol-related nightlife violence. The SALUTT programme in Oslo, Norway was carefully modelled on the STAD project. We investigate whether the results from STAD were replicated in the SALUTT intervention. Using geocoded data, the level of violence in the intervention area was compared with different control areas before and after the intervention. Autoregressive moving average models (ARIMA). The SALUTT programme had no statistically significant effect on violence. However, the level of violence in the different potential control areas of Oslo fluctuated without a clear common trend. Hence, it was difficult to establish proper control areas. The results from the Swedish STAD-intervention were not replicated in Oslo. Successful interventions are not necessarily replicated in other contexts, and the current literature does not shed sufficient light on the conditions under which such interventions actually work. Moreover, more attention should be devoted to the identification of adequate control areas in future research. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  6. Italian programme to optimise X-ray diagnostic exposure

    International Nuclear Information System (INIS)

    Susanna, A.; Fioratti, M.P.

    1985-01-01

    Scientific associations in Italy such as the Assoziazione Italiana di Radioprotezione (AIRP), the Societa Italiana di Biologia e Medicina Nucleare (SIBMN) and the Assoziazione Italiana di Radiologia Medica e Medicina Nucleare (SIRMN) have been working on the problem of patient radiation protection for many years; their latest activities are described. Principal features and aims of the NEXT programme and the programme ''Dose and quality image in mammography'' will follow. Local administrations and Health Physics Services are involved in programmes on Genetically Significant Dose (GSD) evaluation or quality assurance: examples of these programmes are shown. Lastly, problems related to the education of radiological operators and radiologists are dealt with. (author)

  7. Variations in Primary Teachers’ Responses and Development during Three Major Science In- Service Programmes

    Directory of Open Access Journals (Sweden)

    Anthony Pell

    2011-01-01

    Full Text Available This paper reports on how different types of teachers responded to in-service aimed at developing investigative-based science education (IBSE in primary schools, and the extent to which they applied their new skills in the classroom. Common items from evaluation questionnaires allowed data to be combined from three major in-service programmes. Using complete data sets from 120 teachers, cluster analysis enabled three teacher types to be identified: a small group of ‘science unsures’, with low attitude scores and little confidence, who showed no response to the innovation; ‘holistic improvers’, who showed the largest improvement in science teaching confidence; and ‘high level, positive progressives’, who were very positive to science teaching throughout and showed gains in confidence in teaching physics and chemistry, as well as in demonstrating the relevance of science to their pupils. Taking account of these teacher types alongside interviews and observations, nine developmental stages in how teachers apply their new expertise in the classroom and the whole school are suggested. Major factorsinfluencing application in the classroom are the teachers’ initial science knowledge and pedagogical expertise, and motivating feedback to teachers when pupils responded positively to the innovation. Assessing teachers’ initial level of subject knowledge and science pedagogical expertise to inform the approach and amount of in-service provision is important. Subsequent mentoring as well as support from the school principal when teachers first try IBSE with pupils promotes successful implementation in the classroom.

  8. Perspectives on medicine adherence in service users and carers with experience of legally sanctioned detention and medication: a qualitative study

    Directory of Open Access Journals (Sweden)

    Chambers M

    2013-08-01

    Full Text Available Iris Gault,1 Ann Gallagher,2 Mary Chambers31Faculty of Health and Social Care Sciences, Kingston University and St George's University of London, Kingston, Surrey, UK; 2International Centre for Nursing Ethics, School of Health and Social Care, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK; 3Faculty of Health and Social Care Sciences, Kingston University and St George's University of London, St George's University of London, Tooting, London, UKAim: To explore and analyze perceptions of service users and caregivers on adherence and nonadherence to medication in a mental health care context.Background: Mental health medication adherence is considered problematic and legal coercion exists in many countries.Design: This was a qualitative study aiming to explore perceptions of medication adherence from the perspective of the service user (and their caregiver, where possible.Participants: Eighteen mental health service users (and six caregivers with histories of medication nonadherence and repeated compulsory admission were recruited from voluntary sector support groups in England.Methods: Data were collected between 2008 and 2010. Using qualitative coding techniques, the study analyzed interview and focus group data from service users, previously subjected to compulsory medication under mental health law, or their caregivers.Results: The process of medication adherence or nonadherence is encapsulated in an explanatory narrative. This narrative constitutes participants' struggle to negotiate acceptable and effective routes through variable quality of care. Results indicated that service users and caregivers eventually accepted the reality of their own mental illness and their need for safety and treatment. They perceived the behavior of professionals as key in their recovery process. Professionals could be enabling or disabling with regard to adherence to medication.Conclusion: This study investigated service user

  9. A national programme for mastitis control in Australia: Countdown Downunder

    Directory of Open Access Journals (Sweden)

    Brightling PB

    2009-04-01

    Full Text Available Abstract In 1998, Countdown Downunder, Australia's national mastitis and cell count control programme, was created. With funding from the country's leading dairy organisation, Dairy Australia, this programme was originally intended to run for three years but is now in its tenth year. As it was the first time Australia had attempted a national approach to mastitis control on the farm, the first three years of the programme were largely concerned with the development of resources to be used by farmers and service providers. The second three years were devoted to training with both groups. Since that time, Countdown Downunder has entered into a second resource development phase. The goal of the programme was to achieve a reduction in the bulk milk somatic cell count from the Australian dairy herd. To achieve this, the programme had to develop resources with clear and consistent messages around mastitis and somatic cell count control on farms. It was determined that progress toward the goals would be made more rapidly if service providers were trained in the use of these resources prior to farmers. This paper reviews the Countdown Downunder programme from 1998 to 2007.

  10. Progress of French nuclear programme

    International Nuclear Information System (INIS)

    Pierrard, J.-H.

    1981-02-01

    The aims of the French nuclear programme launched in 1974 are briefly recalled to mind, as are the projects completed at the end of 1980. The operating results mentioned, particularly concern the new PWR units brought into commercial service in 1980 [fr

  11. EQUIP training the trainers: an evaluation of a training programme for service users and carers involved in training mental health professionals in user-involved care planning.

    Science.gov (United States)

    Fraser, C; Grundy, A; Meade, O; Callaghan, P; Lovell, K

    2017-08-01

    WHAT IS KNOWN ON THE SUBJECT?: UK NHS policy highlights the importance of user and carer involvement in health professional training. We know little about service user and carer motivations and experiences of accessing training courses for delivering training to health professionals and how well such courses prepare them for delivering training to healthcare professionals. 'Involvement' in training has often been tokenistic and too narrowly focused on preregistration courses. There is limited data on how best to prepare and support potential service user and carer trainers. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This study adds to the international literature by highlighting service user and carer motivations for accessing a training course for delivering training to health professionals. Service users and carers wanted to gain new skills and confidence in presentation/facilitation as well as to make a difference to healthcare practice. We also learned that service users desired different levels of involvement in training facilitation - some wanted to take a more active role than others. A one-size-fits-all approach is not always appropriate. Encountering resistance from staff in training was a previously unidentified challenge to service user and carers' experience of delivering training in practice and is a key challenge for trainers to address in future. Professional training involvement can be enhanced via specialist training such as the EQUIP training the trainers programme evaluated here. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: When training service users and carers to deliver training to mental health professionals, it is important that service users are equipped to deal with resistance from staff. It is important that service user and carer roles are negotiated and agreed prior to delivering training to healthcare professionals to accommodate individual preferences and allay anxieties. Training for service users and carers must be offered

  12. [Potentials and limitations of the planned compulsory quality assurance program for cataract surgery (Qesü)].

    Science.gov (United States)

    Hahn, U; Bertram, B; Krummenauer, F; Reuscher, A; Fabian, E; Neuhann, T; Schmickler, S; Neuhann, I

    2013-04-01

    Cataract surgery is scheduled for a federal program for quality improvement across the different sectors of care (outpatient care and hospitals). In case of implementation not only ophthalmic surgeons but all ophthalmologists would have to contribute to the documentation. Urgency, potential benefits and limitations of a compulsory compared to a voluntary quality assessment system are analyzed.

  13. Barriers and Facilitators for implementing programmes and services to address hyperglycaemia in pregnancy in low and middle income countries

    DEFF Research Database (Denmark)

    Nielsen, Karoline Kragelund; Damm, Peter; Bygbjerg, Ib C

    2018-01-01

    AIMS: An estimated 87.6% of hyperglycaemia in pregnancy cases is in low and middle income countries (LMICs). The aim of this study is to review the evidence on barriers and facilitators to programmes and services addressing hyperglycaemia in pregnancy in LMICs. METHODS: A systematic review...... they relate to capacity in terms of human and material resources; availability of feasible and appropriate guidelines; organizational management and referral pathways. Individual level barriers and facilitators include knowledge; risk perception; illness beliefs; financial condition; work obligations......; concerns for the baby and hardship associated with services. At the social and societal level, perceptions and norms related to women's roles, mobility and health; the knowledge and support of the women's social network; and structural aspects are important influencing factors. CONCLUSIONS: Numerous...

  14. The implementation of the Care Programme Approach for service users with a learning disability. Building Bridges to the same Old Horizons?

    Science.gov (United States)

    Kelly, M

    2017-08-01

    WHAT IS KNOWN ON THE SUBJECT?: People with mental health problems and learning disabilities often do not receive the care they require. The Care Programme Approach (CPA) is meant to help with this. However, there have been many problems in the past with the introduction of the CPA into mental health services. There is no literature which explores what factors help or hinder the introduction of the CPA for service users with a mental health and learning disability, especially from the perspective of those responsible for overseeing this process. WHAT DOES THIS ARTICLE ADD TO EXISTING KNOWLEDGE?: The implementation of the CPA for this service user group is fragmented, and services are not working together in partnership. The CPA is being effectively implemented for people who are deemed to present with a risk to themselves or others. If a service user does not present with a high risk, they are not provided care through the CPA. Service users were not involved in the development or introduction of the policy in practice. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Services need to work better at engaging service users when they are developing and introducing new policies. Rather than applying the CPA for all service users, across all services, it should only be considered for those deemed to present with a high risk. It is effectively implemented for these people. For those not deemed to present with a high risk, services should consider using alternative service user led care planning frameworks. Introduction The Care Programme Approach was introduced in England to ensure services met the needs of people with mental health problems and a concurrent learning disability (dual diagnosis). The CPA implementation was patchy and services failed to work in partnership. Aim This study aimed to explore the factors shaping the recent implementation of the CPA for service users with a dual diagnosis. Method A single case study approach was undertaken. Data were collected through

  15. Transformational leadership training programme for charge nurses.

    Science.gov (United States)

    Duygulu, Sergul; Kublay, Gulumser

    2011-03-01

    This paper is a report of an evaluation of the effects of a transformational leadership training programme on Unit Charge Nurses' leadership practices. Current healthcare regulations in the European Union and accreditation efforts of hospitals for their services mandate transformation in healthcare services in Turkey. Therefore, the transformational leadership role of nurse managers is vital in determining and achieving long-term goals in this process. The sample consisted of 30 Unit Charge Nurses with a baccalaureate degree and 151 observers at two university hospitals in Turkey. Data were collected using the Leadership Practices Inventory-Self and Observer (applied four times during a 14-month study process from December 2005 to January 2007). The transformational leadership training programme had theoretical (14 hours) and individual study (14 hours) in five sections. Means, standard deviations and percentages, repeated measure tests and two-way factor analysis were used for analysis. According the Leadership Practices Inventory-Self and Observer ratings, leadership practices increased statistically significantly with the implementation of the programme. There were no significant differences between groups in age, length of time in current job and current position. The Unit Charge Nurses Leadership Practices Inventory self-ratings were significantly higher than those of the observers. There is a need to develop similar programmes to improve the leadership skills of Unit Charge Nurses, and to make it mandatory for nurses assigned to positions of Unit Charge Nurse to attend this kind of leadership programme. © 2010 Blackwell Publishing Ltd.

  16. On the Brink of Education: Experiences of Refugees beyond the Age of Compulsory Education in Austria

    Science.gov (United States)

    Atanasoska, Tatjana; Proyer, Michelle

    2018-01-01

    This paper offers first-hand accounts of refugees beyond the age of compulsory education having arrived in Austria during the last five years. Their accounts were collected using qualitative interviews and a visual method to allow for different approaches towards their educational biographies. Nine individual and two group interviews (altogether…

  17. Preventing compulsory admission to psychiatric inpatient care: Perceived coercion, empowerment and self-reported mental health functioning after 12 months of preventive monitoring

    Directory of Open Access Journals (Sweden)

    Barbara eLay

    2015-11-01

    Full Text Available Objective: To evaluate effects of a preventive monitoring program targeted to reduce compulsory re-hospitalization and perceived coercion in patients with severe mental disorder. We analyze patient outcomes in terms of perceived coercion, empowerment and self-reported mental health functioning at 12 months. Methods: The program consists of individualized psycho-education, crisis cards and, after discharge from the psychiatric hospital, a 24-month preventive monitoring. In total, 238 psychiatric inpatients who had had compulsory admission(s during the past 24 months were included in the trial. T1-assessment 12 months after baseline was achieved for 182 patients. Results: Study participants reported lower levels of perceived coercion, negative pressures and process exclusion, a higher level of optimism, and a lesser degree of distress due to symptoms, interpersonal relations and social role functioning (significant time effects. However, improvements were not confined to the intervention group, but seen also in the TAU group (no significant group or interaction effects. Altered perceptions were linked to older age, shorter illness duration, female sex, non-psychotic disorder, and compulsory hospitalization not due to risk of harm to others. Conclusion: Our findings suggest that changes in the subjective perspective were fuelled primarily by participation in this study, rather than by having received the specific intervention. The study contributes to a better understanding of the interaction between 'objective' measures (compulsory readmissions and patients’ perceptions and highlights the need for treatment approaches promoting empowerment in individuals with a history of involuntary psychiatric hospitalizations.

  18. Wujiang's service-oriented family planning programme.

    Science.gov (United States)

    Zhu, H

    1995-08-01

    Wujiang City in south Jiangsu Province is a county-level city, well known for its economic development and effective family planning program. Family planning is practiced voluntarily by the people. The growth rate of the city's population has decreased to 5.47/1000; the proportion of planned births has increased to 98%; and the total fertility rate has declined to 1.5. There are 34 towns (and townships) and 883 administrative villages under the jurisdiction of the city. The living standard has improved significantly. The successful implementation of family planning is largely due to the quality services delivered to farmers, especially women of reproductive age. In an interview, Mme. Ji and Mme. Shen, chiefs of the Wujiang Family Planning Committee, describe the services they deliver. The information, education, and communication (IEC) program is focused on population schools (city, town, township, and village), which deliver information to middle school students, premarital youth, and women who are pregnant, lying-in, or menopausal. Pamphlets on marriage and reproductive health are published by the county population school. Family planning service centers, which deliver contraceptive and technical services, were established in every town and township in 1993. Ultrasound scans are available and have been used to diagnose diseases, including cancer. Over 3000 women have been helped. Misuse of fetal sex identification is banned. The Family Planning Committee and the technical service centers in the city provide counselling services on fewer, healthier births; maternal and child health care; reproductive health; and treatment of infertility. There are several kinds of insurance related to family planning; these include old age support for the parents of only-children, safety insurance for only-children, and old age insurance for newlyweds. The insurance premium is shared by the couple (100 yuan) and the township (400 yuan). Only-child couples, two-daughter families

  19. SWOT analysis of a pediatric rehabilitation programme: a participatory evaluation fostering quality improvement.

    Science.gov (United States)

    Camden, Chantal; Swaine, Bonnie; Tétreault, Sylvie; Bergeron, Sophie

    2009-01-01

    To present the results of a strengths, weaknesses, opportunities and threats (SWOT) analysis used as part of a process aimed at reorganising services provided within a pediatric rehabilitation programme (PRP) in Quebec, Canada and to report the perceptions of the planning committee members regarding the usefulness of the SWOT in this process. Thirty-six service providers working in the PRP completed a SWOT questionnaire and reported what they felt worked and what did not work in the existing model of care. Their responses were used by a planning committee over a 12-month period to assist in the development of a new service delivery model. Committee members shared their thoughts about the usefulness of the SWOT. Current programme strengths included favourable organisational climate and interdisciplinary work whereas weaknesses included lack of psychosocial support to families and long waiting times for children. Opportunities included working with community partners, whereas fear of losing professional autonomy with the new service model was a threat. The SWOT results helped the planning committee redefine the programme goals and make decisions to improve service coordination. SWOT analysis was deemed as a very useful tool to help guide service reorganisation. SWOT analysis appears to be an interesting evaluation tool to promote awareness among service providers regarding the current functioning of a rehabilitation programme. It fosters their active participation in the reorganisation of a new service delivery model for pediatric rehabilitation.

  20. Inspection qualification programme for VVER reactors and review of round robin test results

    International Nuclear Information System (INIS)

    Horacek, L.; Zdarek, J.

    1998-01-01

    Experience obtained, especially from in-service inspections of VVER 440-type reactor pressure vessels and from the Czech round test trials with international participation of ultrasonic teams, has highlighted the need for an in-service inspection qualification programme in the Czech Republic focused on NDT procedures, equipment and personnel. Recently, several national and international regional projects included in the PHARE programme (projects 4.1.2/93 and 1.02/94), briefly described, have been initiated. These projects are to cover step by step the programme of the in-service inspection qualification in view of technical justification as well as of practical assessment-performance demonstration-for all the main VVER-type primary circuit components. (orig.)

  1. Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.

    Science.gov (United States)

    Wolfenden, Luke; Jones, Jannah; Williams, Christopher M; Finch, Meghan; Wyse, Rebecca J; Kingsland, Melanie; Tzelepis, Flora; Wiggers, John; Williams, Amanda J; Seward, Kirsty; Small, Tameka; Welch, Vivian; Booth, Debbie; Yoong, Sze Lin

    2016-10-04

    Despite the existence of effective interventions and best-practice guideline recommendations for childcare services to implement policies, practices and programmes to promote child healthy eating, physical activity and prevent unhealthy weight gain, many services fail to do so. The primary aim of the review was to examine the effectiveness of strategies aimed at improving the implementation of policies, practices or programmes by childcare services that promote child healthy eating, physical activity and/or obesity prevention. The secondary aims of the review were to:1. describe the impact of such strategies on childcare service staff knowledge, skills or attitudes;2. describe the cost or cost-effectiveness of such strategies;3. describe any adverse effects of such strategies on childcare services, service staff or children;4. examine the effect of such strategies on child diet, physical activity or weight status. We searched the following electronic databases on 3 August 2015: the Cochrane Central Register of Controlled trials (CENTRAL), MEDLINE, MEDLINE In Process, EMBASE, PsycINFO, ERIC, CINAHL and SCOPUS. We also searched reference lists of included trials, handsearched two international implementation science journals and searched the World Health Organization International Clinical Trials Registry Platform (www.who.int/ictrp/) and ClinicalTrials.gov (www.clinicaltrials.gov). We included any study (randomised or non-randomised) with a parallel control group that compared any strategy to improve the implementation of a healthy eating, physical activity or obesity prevention policy, practice or programme by staff of centre-based childcare services to no intervention, 'usual' practice or an alternative strategy. The review authors independently screened abstracts and titles, extracted trial data and assessed risk of bias in pairs; we resolved discrepancies via consensus. Heterogeneity across studies precluded pooling of data and undertaking quantitative

  2. The IAEA isotope and radiation programme

    International Nuclear Information System (INIS)

    Danesi, P.R.

    1988-01-01

    The IAEA isotope and radiation programme is characterized by the very large number of topics dealt with and the broad range of activities where nuclear methods and techniques are utilized. The main activities of the programme can be grouped into: food and agriculture, human health and life science, industry and physical science, and laboratory services. Radioisotope and radiation based techniques are applied to such areas as plant breeding, insect and pest control, soil fertility studies, animal health and production, studies on the fate of pesticide residues and radionuclides in the food chain, and food preservation. General objectives of the second group of activities are to assist hospitals and research institutes in developing member states in the introduction and development of radionuclide tracers in medical diagnosis and research, to promote use of radiation therapy for cancer treatment, etc. The major objective of the third group is to foster research and application of nuclear methodologies for industrial applications in developing countries. The Agency's Laboratories at Seibersdorf and in Vienna and the Monaco Laboratory play a relevant role in providing laboratory services as a back-up for various programmes, and in the training of scientists from developing countries. (Nogami, K.)

  3. Back-to-basics with a surgical rotation programme.

    Science.gov (United States)

    Hall, Catherine L

    This article describes the development and implementation of a rotation programme for Band 5 nurses within the surgical directorate at Heart of England NHS Foundation Trust. The article highlights the challenges raised for nurses with health service modernization and develops the rationale for the need for a different way of thinking. At Heart of England NHS Foundation Trust, the authors evaluation has led to the development of the surgical rotation programme for Band 5 nurses. This rotation programme challenged basic clinical practice and traditional modes of staff placement. Indications, so far, are that quality of care for patients has improved and nurses satisfaction has increased as a result of the implementation of the Band 5 surgical rotation programme.

  4. Communication subjective assessments of patients undergoing compulsory treatment with the severity of negative symptoms and cognitive functioning level

    Directory of Open Access Journals (Sweden)

    Kabanov T.N.

    2015-04-01

    Full Text Available The article presents the results of studies on the relationship of subjective assessments of the mentally ill with the severity of negative symptoms and cognitive functioning level. The features of patients perception of various aspects of compulsory treatment and subjective satisfaction with treatment. In a study of 94 male patients with a diagnosis of organic mental disorder and schizophrenia was used diagnostic system, consisting of patopsihologicheskogo study, formal survey map, the scale of assessment of negative symptoms SANS, questionnaire symptom levels SCL-90, self-existing problems, as well as - in Test authoring tool sheet to treatment and hospital stay (VG Bulygin, Kabanov, TN, 2011. The differences in subjective assessments of aspects of compulsory treatment and social functioning of patients with varying degrees of severity of negative symptoms and dependence of subjective assessments of the level of cognitive functioning.

  5. Neuromuscular training with injury prevention counselling to decrease the risk of acute musculoskeletal injury in young men during military service: a population-based, randomised study

    Directory of Open Access Journals (Sweden)

    Suni Jaana

    2011-04-01

    Full Text Available Abstract Background The rapidly increasing number of activity-induced musculoskeletal injuries among adolescents and young adults is currently a true public health burden. The objective of this study was to investigate whether a neuromuscular training programme with injury prevention counselling is effective in preventing acute musculoskeletal injuries in young men during military service. Methods The trial design was a population-based, randomised study. Two successive cohorts of male conscripts in four companies of one brigade in the Finnish Defence Forces were first followed prospectively for one 6-month term to determine the baseline incidence of injury. After this period, two new successive cohorts in the same four companies were randomised into two groups and followed prospectively for 6 months. Military service is compulsory for about 90% of 19-year-old Finnish men annually, who comprised the cohort in this study. This randomised, controlled trial included 968 conscripts comprising 501 conscripts in the intervention group and 467 conscripts in the control group. A neuromuscular training programme was used to enhance conscripts' motor skills and body control, and an educational injury prevention programme was used to increase knowledge and awareness of acute musculoskeletal injuries. The main outcome measures were acute injuries of the lower and upper limbs. Results In the intervention groups, the risk for acute ankle injury decreased significantly compared to control groups (adjusted hazards ratio (HR = 0.34, 95% confidence interval (95% CI = 0.15 to 0.78, P = 0.011. This risk decline was observed in conscripts with low as well as moderate to high baseline fitness levels. In the latter group of conscripts, the risk of upper-extremity injuries also decreased significantly (adjusted HR = 0.37, 95% CI 0.14 to 0.99, P = 0.047. In addition, the intervention groups tended to have less time loss due to injuries (adjusted HR = 0.55, 95% CI 0

  6. The political and scientific challenges in evaluating compulsory drug treatment centers in Southeast Asia

    OpenAIRE

    Vuong, Thu; Nguyen, Nhu; Le, Giang; Shanahan, Marian; Ali, Robert; Ritter, Alison

    2017-01-01

    Background In Vietnam, like many countries in Southeast Asia, the commonly used approach of center-based compulsory drug treatment (CCT) has been criticized on human rights ground. Meanwhile, community-based voluntary methadone maintenance treatment (MMT) has been implemented for nearly a decade with promising results. Reform-minded leaders have been seeking empirical evidence of the costs and effectiveness associated with these two main treatment modalities. Conducting evaluations of these t...

  7. Food appearances in children's television programmes in Iceland.

    Science.gov (United States)

    Olafsdottir, Steingerdur; Berg, Christina

    2017-11-01

    Exposure to advertisements cannot fully explain the associations between young children's dietary intake and the time they spend in front of the television. It is therefore of importance to study television content other than advertisements in this aspect. The present study aimed to examine the nature and extent of verbal and visual appearances of foods and beverages in children's television programmes on Icelandic public service television. A total of 27 h of children's programmes (domestic and internationally produced) were watched. All verbal and visual appearances of foods and beverages were coded, as well as the context in which the foods/beverages were discussed or appeared. Children's programmes on Icelandic public service television. Two food groups were of special interest for their importance from a public health perspective: high-calorie and low-nutrient (HCLN) foods and fruits and vegetables (F&V). The χ 2 test and logistic regression were performed to analyse if the occurrence of the two groups was associated with the context where foods/beverages appeared. Of the 125 different programmes, a food or beverage appeared in 86 %. Of the total food appearances (n 599), HCLN foods accounted for 26 % and F&V for 23 %. HCLN foods were presented as desirable by appearing more frequently with child characters (Pfood and eating is presented in children's programmes, as young childhood is a critical period for founding healthy habits for later life.

  8. Hidden Gains: Effects of Early U.S. Compulsory Schooling Laws on Attendance and Attainment by Social Background

    Science.gov (United States)

    Rauscher, Emily

    2014-01-01

    Research on early compulsory schooling laws finds minimal effects on attendance but fails to investigate heterogeneous effects. Similarly, research proposes limited contexts in which expansion policies can increase equality but has difficulty separating policy and cohort effects. Capitalizing on within-country variation in timing of early…

  9. Integrating an infectious disease programme into the primary health care service: a retrospective analysis of Chagas disease community-based surveillance in Honduras.

    Science.gov (United States)

    Hashimoto, Ken; Zúniga, Concepción; Nakamura, Jiro; Hanada, Kyo

    2015-03-24

    Integration of disease-specific programmes into the primary health care (PHC) service has been attempted mostly in clinically oriented disease control such as HIV/AIDS and tuberculosis but rarely in vector control. Chagas disease is controlled principally by interventions against the triatomine vector. In Honduras, after successful reduction of household infestation by vertical approach, the Ministry of Health implemented community-based vector surveillance at the PHC services (health centres) to prevent the resurgence of infection. This paper retrospectively analyses the effects and process of integrating a Chagas disease vector surveillance system into health centres. We evaluated the effects of integration at six pilot sites in western Honduras during 2008-2011 on; surveillance performance; knowledge, attitude and practice in schoolchildren; reports of triatomine bug infestation and institutional response; and seroprevalence among children under 15 years of age. The process of integration of the surveillance system was analysed using the PRECEDE-PROCEED model for health programme planning. The model was employed to systematically determine influential and interactive factors which facilitated the integration process at different levels of the Ministry of Health and the community. Overall surveillance performance improved from 46 to 84 on a 100 point-scale. Schoolchildren's attitude (risk awareness) score significantly increased from 77 to 83 points. Seroprevalence declined from 3.4% to 0.4%. Health centres responded to the community bug reports by insecticide spraying. As key factors, the health centres had potential management capacity and influence over the inhabitants' behaviours and living environment directly and through community health volunteers. The National Chagas Programme played an essential role in facilitating changes with adequate distribution of responsibilities, participatory modelling, training and, evaluation and advocacy. We found that Chagas

  10. How is the sustainability of chronic disease health programmes empirically measured in hospital and related healthcare services?-a scoping review.

    Science.gov (United States)

    Francis, Linda; Dunt, David; Cadilhac, Dominique A

    2016-05-31

    Programmes to address chronic disease are a focus of governments worldwide. Despite growth in 'implementation science', there is a paucity of knowledge regarding the best means to measure sustainability. The aim of this review was to summarise current practice for measuring sustainability outcomes of chronic disease health programmes, providing guidance for programme planners and future directions for the academic field. A scoping review of the literature spanning 1985-2015 was conducted using MEDLINE, CINAHL, PsychINFO and The Cochrane Library limited to English language and adults. Main search terms included chronic disease, acute care, sustainability, institutionalisation and health planning. A descriptive synthesis was required. Settings included primary care, hospitals, mental health centres and community health. Programmes included preventing or managing chronic conditions including diabetes, heart disease, depression, respiratory disease, cancer, obesity, dental hygiene and multiple chronic diseases. Outcome measures included clarifying a sustainability definition, types of methodologies used, timelines for assessment, criteria levels to determine outcomes and how methodology varies between intervention types. Among 153 abstracts retrieved, 87 were retained for full article review and 42 included in the qualitative synthesis. Five definitions for sustainability outcome were identified with 'maintenance of programme activities' most frequent. Achieving sustainability was dependent on inter-relationships between various organisational and social contexts supporting a broad scale approach to evaluation. An increasing trend in use of mixed methods designs over multiple time points to determine sustainability outcomes was found. Despite the importance and investment in chronic disease programmes, few studies are undertaken to measure sustainability. Methods to evaluate sustainability are diverse with some emerging patterns in measurement found. Use of mixed

  11. SUB-SAHARAN IRREGULAR MIGRANTS IN MOROCCO & THE EXCEPTIONAL REGULARISATION PROGRAMME IN 2014

    OpenAIRE

    Naama, Mbarek

    2017-01-01

    Naama, Mbarek. Sub-Saharan Irregular Migrants in Morocco and the Exceptional Regularisation Programme in 2014. Diak South Helsinki Finland. Spring 2017. 43 Pages. Language: English. Diaconia University of Applied Sciences, Degree Programme in Social Services, Option in Community Development, Bachelor of Social Services (UAS). After decades of ignoring irregular migration and refusing to acknowledge that Morocco is no longer just a transit but also a host country for increasing complex mig...

  12. PROPOSAL OF VOIVODESHIP ROAD SAFETY IMPROVEMENT PROGRAMME

    OpenAIRE

    Tomasz SZCZURASZEK; Jan KEMPA

    2016-01-01

    The article presents a proposal of the ‘GAMBIT KUJAWSKO-POMORSKI’ Road Safety Improvement Programme. The main idea of the Programme is to establish and initiate systems that will be responsible for the most important areas of activity within road safety, including road safety control, supervision, and management systems in the whole Voivodeship. In total, the creation and start of nine such systems has been proposed, namely: the Road Safety Management, the Integrated Road Rescue Service, the ...

  13. Antiretroviral therapy programme on control of HIV transmission in ...

    African Journals Online (AJOL)

    Antiretroviral therapy programme on control of HIV transmission in Morogoro municipality, Tanzania: A challenge for development. ... The government and partners should improve access to ART services to enable many PLHIV to access the services. Key words: Antiretroviral Therapy, Highly Active Antiretroviral Treatment, ...

  14. A process evaluation of a supervisory development programme

    Directory of Open Access Journals (Sweden)

    Jasper Buys

    2012-07-01

    Research purpose: The study aimed to provide information about coverage, service delivery, organisational resources, and medium-term outcomes for a supervisory development programme (SDP in the hospitality industry. Motivation for the study: The primary motivation was to assist programme staff to understand their programme and also to generate information that the programme staff could use to reflect on the programme’s performance and future direction. Research design, approach and method: A mixture of quantitative and qualitative methods was employed, namely: a literature review; personal interviews; and internal programme documentation, such as e-mail correspondence, financial statements, attendance registers, and personnel records. Personal interviews were conducted with two stakeholders, namely the programme manager and programme administrator. The programme data of 69 participants in the SDP were utilised for the evaluation. Main findings: The evaluation’s main finding concluded that the ‘implemented programme’ was not congruent with the ‘planned programme’. Practical/managerial implications: It is recommended that programme activities and theory should be re-evaluated, as the programme is used mainly as a training programme for new appointees, rather than a management development programme to create a pool of potential supervisors. Programme uptake and output should also be closely aligned. The length of time that people in the pool of potential supervisors had to wait before they were appointed should also be reduced. Contribution/value-add: By explicating the basic programme theory and studying programme implementation, this evaluation serves as a starting point for future evaluations of the SDP.

  15. Ageing problems and renovation programme of ET-RR-1 reactor

    International Nuclear Information System (INIS)

    Khattab, M.S.; Sultan, M.A.

    1995-01-01

    Based on Practical Experience gained from interfacing ageing systems in addition to operating new systems, current problems could be deduced whenever in-service inspection are carried out. This paper summarizes the in-service inspection made, and the proposed programme of rehabilitation of mechanical system in the ET-RR-1 research reactor at Inshass. Exchangeable experience in solving common problems in similar reactors play an important role in the effectiveness of such rehabilitation programme. The paper summarizes also the modernization of control, measuring and radiation monitoring system already carried out at the reactor. (orig.)

  16. In-service education and training as experienced by registered nurses.

    Science.gov (United States)

    Norushe, T F; Van Rooyen, D; Strumpher, J

    2004-11-01

    Nursing is a dynamic profession that is subject to rapid changes in health care provision, hence the need for in-service training programmes for nurses. Newly employed registered nurses require in-service training in order to update them regarding the latest developments in nursing practice. The researcher noted that some newly appointed registered nurses were not competent in all aspects relating to their tasks. This could have been due to a knowledge deficit relating to either new developments or of the procedure relating to a specific task. In some institutions newly-appointed registered nurses on probation reported not receiving in-service training for six months or longer, yet they were still expected to perform their tasks efficiently. The objectives of the study were to, firstly, explore and describe the experiences of registered nurses regarding in-service training programmes in their institutions and, secondly, to make recommendations to Nursing Service Managers relating to the development of effective in-service training programmes in their institutions. A qualitative, exploratory, descriptive design was implemented. Data was analysed using Tesch's descriptive approach (in Creswell, 1994:155). Two main themes emerged, namely that registered nurses experienced in-service training programmes as inadequate and reacted negatively towards them. This article focuses on the experiences of registered nurses relating to in-service training programmes, as well as the formulation of guidelines to assist nursing service managers in the development of effective in-service training programmes.

  17. The perceived benefits of the Maties Injury Programme among ...

    African Journals Online (AJOL)

    Conclusions: The theoretical benefits of providing a specialised sports injury assessment as part of the Campus Health Services for athletes at Stellenbosch University have been supported by the encouraging responses of patients. Incorporating sports injury programmes into campus health services at more universities ...

  18. Licença compulsória do efavirenz no Brasil em 2007: contextualização Compulsory licensing of efavirenz in Brazil in 2007: contextualization

    Directory of Open Access Journals (Sweden)

    William C. V. Rodrigues

    2009-12-01

    Full Text Available The present article aims at contextualizing the first Brazilian experience with compulsory licensing, which functions as a defense mechanism to prevent excessive pricing by holders of patents. According to this mechanism, a government can authorize a third party to explore the patented object (in this case a drug without previous consent from the patent holder. On May 4, 2007, Brazil officially issued compulsory licensing of the antiretroviral drug efavirenz for public, non-commercial use. Initially, generic versions of the drug were purchased from laboratories in India. The next step was the manufacture of efavirenz by Farmanguinhos, official pharmaceutical laboratory (Fundação Osvaldo Cruz. It is concluded that the decision made by the Brazilian government to issue compulsory licensing of efavirenz nwas correct, taking into account the projected savings of US$ 236.8 until 2012 and the guarantee of availability of efavirenz, the most usual free antiretroviral treatment provided in Brazil.

  19. Vocations: The Link between Post-Compulsory Education and the Labour Market. What the Research Says For... Industry

    Science.gov (United States)

    Wheelahan, Leesa; Buchanan, John; Yu, Serena

    2015-01-01

    This summary brings together the relevant key findings for industry from the research program "Vocations: The Link between Post-Compulsory Education and the Labour Market." The program was comprised of three different strands: (1) pathways from VET in Schools, (2) pathways within and between vocational education and training (VET) and…

  20. INTRODUCTION OF VAT SPLIT PAYMENT MECHANISM IN ROMANIA – COMPULSORY VERSUS OPTIONALLY

    Directory of Open Access Journals (Sweden)

    ECOBICI NICOLAE

    2017-11-01

    Full Text Available The objective of this article is to analyze the implications of introducing the VAT split payment mechanism in Romania, as it is regulated, as a compulsory system, through GO 23/2017 respectively, as well as in the case of the modification of the regulation in the sense of replacing the compulsory by optionality. We will analyze the effects of Ordinance 23/2017 of the Romanian Government regarding the mandatory distinctly payment of VAT for Romanian legal persons, registered or not for VAT purposes, as well as the result which the Government hopes to obtain as a result of the application of this provision, on the one hand. On the other hand, we will discuss the effects of a change in regulation for the optionally application of the VAT split payment mechanism, as of January 1, 2018, as compared with the amendments already approved by the Romanian Senate on October 31st, 2017. The structure of the article includes the following main sections: a briefly presents of the VAT split payment mechanism, as it was originally regulated by GO 23/2017; the second part includes the analysis of the implications of introducing the VAT split payment mechanism on legal entities and the state, in the initial phase of the Ordinance; the third part is devoted to the presentation of the amendments approved at the end of October 2017, respectively to the recommendations on amendments needed to be taken into account by the Chamber of Deputies, and the last part will include the conclusions and recommendations.

  1. Implementation Fidelity of a Voluntary Sector-Led Diabetes Education Programme

    Science.gov (United States)

    Kok, Michele S. Y.; Jones, Mat; Solomon-Moore, Emma; Smith, Jane R.

    2018-01-01

    Purpose: The quality of voluntary sector-led community health programmes is an important concern for service users, providers and commissioners. Research on the fidelity of programme implementation offers a basis for assessing and further enhancing practice. The purpose of this paper is to report on the fidelity assessment of Living Well Taking…

  2. impact of clinical officer anaesthetist training programme

    African Journals Online (AJOL)

    2013-07-07

    Jul 7, 2013 ... COLLEGE, NAKURU, ON TRAINEE SATISFACTION, QUALITY OF PRACTICE, AND CADRE ... offering this training programme for the last eight ..... Service*. Out of the 880 C.O Anaesthetists trained, some are not practising ...

  3. The Agency's Technical Co-operation programme with Algeria, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $3.6 million of Agency support received, Algeria ranks 41st among all recipients of technical assistance in the period 1958-1991. Seventy per cent of the assistance received during the past ten years has been in the form of equipment, followed by expert services (17%) and training (13%). Almost all of the resources were provided by the Technical Assistance and Co-operation Fund (97%), the remaining 3% were made available through assistance in kind. With regard to project disbursement by sector, the three major areas have been nuclear physics and chemistry (28%), agriculture (27%) and nuclear medicine (20%)

  4. The NRPB future scientific programme (2002-2007)

    International Nuclear Information System (INIS)

    2002-01-01

    This paper provides a detailed summary of the work planned for the lifetime of the Corporate Plan (2002-2007). Some of the work relates to new technologies, other work arises from challenges to accepted standards or because of new information from research. The Scientific Programme is set in the context of NRPB effort in the international arena to develop and address radiation issues and standards. This work pervades and influences aspects of the work programme in all of the scientific areas. The globally recognised expertise of NRPB can influence developments to ensure UK concerns are addressed and the UK research programmes meshes with international and collaborative research. The Scientific Programme is in line with the role of NRPB, our stated methods of working and the priorities identified by the 1999-2000 Strategic Review, Government Departments, Devolved Administrations and Agencies and the views of Board members. The future Scientific Programme spans the three principal functions of advice, research and the provision of technical services and draws on expertise from across the organisation. The Department of Health is responsible for ministerial approval of the Corporate Plan and Scientific Programme. (author)

  5. A qualitative exploration of stakeholder perspectives on a school-based multi-component health promotion nutrition programme.

    Science.gov (United States)

    Middleton, G; Keegan, R; Henderson, H

    2012-12-01

    Food for Fitness is an on-going multi-component health promotion programme, delivered in primary and secondary schools by community nutrition assistants. The programme uses nutritional interventions aimed at promoting healthier eating practices for children. This service evaluation investigated the receipt and delivery of the programme, as perceived by local stakeholders who had experienced and administered the service. Semi-structured interviews and focus groups were carried out with three key stakeholder groups: health professionals (n = 9), school teachers (n = 10) and senior health officials (n = 3). Qualitative data were transcribed verbatim and received thematic analysis with deductive and inductive processes. Stakeholders reported that the programme contributed to the development of food education and healthy-eating practices of children in the local area. Stakeholders considered that the main concern was the limited capacity and size of the service. They described problems with long-term sustainability in supporting schools with maintaining nutritional interventions, highlighting issues regarding contact, planning and organisation of several interventions. The findings of the service evaluation inform service management, organisation and ground-level delivery. The use of stakeholder opinion provided contextualised information on the factors that impact on the implementation of the programme. The richness of the qualitative results can guide future planning and provision for similar health promotion nutrition programmes delivered in the school environment. © 2012 The Authors. Journal of Human Nutrition and Dietetics © 2012 The British Dietetic Association Ltd.

  6. The Evaluation Of An Insourced Employee Assistance Programme

    OpenAIRE

    Rajeshree Naicker; Christa Fouché

    2003-01-01

    Employers worldwide are appreciating the increasing need for maximum employee productivity and effectiveness in a global economy. In countries with labour and/or skill shortages, the strategic value of worker recruitment and retention is vital. Employers are thus utilising workplace services, such as Employee Assistance Programmes (EAPs) and other related programmes to enhance their overall Human Resources systems. However, the mere introduction of an EAP is not in itself sufficient to achiev...

  7. Negative moods correlate with craving in female methamphetamine users enrolled in compulsory detoxification

    Directory of Open Access Journals (Sweden)

    Shen Wenwen

    2012-10-01

    Full Text Available Abstract Background Methamphetamine (METH use, especially in females, has become a growing public health concern in China. In this study, we aimed to characterize the factors that contributed to drug craving in female METH users under isolated compulsory detoxification. We characterized factors contributing to craving such as duration of detoxification, history of drug use and self-reported mood state. Methods Subjects (N=113 undergoing a 1- to 3-year METH detoxification program were recruited from the Zhejiang Compulsory Detoxification Center for Women. The Questionnaire of METH-use Urge (QMU was used to evaluate the level of craving for METH. The Abbreviate Profile of Mood States (A-POMS was applied as an assessment for the negative mood disturbances. Results The participants were at a mean age of 25.2, primarily lowly educated and unemployed, and single. Smoking was the only route of METH administration at an average dose of 0.5 g/day, and 4 times/week. The reported craving level was positively correlated with the negative mood disturbances and the weekly dose of METH, but independent of the duration of detoxification. Furthermore, all five aspects of negative mood disturbances, including fatigue, bewilderment, anxiety, depression and hostility, were shown to positively correlate to the self-reported craving level after controlling for weekly dose of METH. Conclusions The data demonstrate a robust correlation between mood distress and craving for METH. Our results call for close evaluation of mood distress in treatment of METH users in China.

  8. Innovation and the English National Health Service: a qualitative study of the independent sector treatment centre programme.

    Science.gov (United States)

    Turner, Simon; Allen, Pauline; Bartlett, Will; Pérotin, Virginie

    2011-08-01

    Over the past two decades, an international trend of exposing public health services to different forms of economic organisation has emerged. In the English National Health Service (NHS), care is currently provided through a quasi-market including 'diverse' providers from the private and third sector. The predominant scheme through which private sector companies have been awarded NHS contracts is the Independent Sector Treatment Centre (ISTC) programme. ISTCs were designed to produce innovative models of service delivery for elective care and stimulate innovation among incumbent NHS providers. This paper investigates these claims using qualitative data on the impact of an ISTC upon a local health economy (LHE) composed of NHS organisations in England. Using the case of elective orthopaedic surgery, we conducted semi-structured interviews with senior managers from incumbent NHS providers and an ISTC in 2009. We show that ISTCs exhibit a different relationship with frontline clinicians because they counteract the power of professional communities associated with the NHS. This has positive and negative consequences for innovation. ISTCs have introduced new routines unencumbered by the extant norms of professional communities, but they appear to represent weaker learning environments and do not reproduce cooperation across organisational boundaries to the same extent as incumbent NHS providers. Copyright © 2011 Elsevier Ltd. All rights reserved.

  9. Community health workers programme in Luanda, Angola: an evaluation of the implementation process.

    Science.gov (United States)

    Giugliani, Camila; Duncan, Bruce Bartholow; Harzheim, Erno; Lavor, Antônio Carlile Holanda; Lavor, Míria Campos; Machado, Márcia Maria Tavares; Barbosa, Maria Idalice; Bornstein, Vera Joana; Pontes, Ana Lúcia; Knauth, Daniela Riva

    2014-12-09

    The Community Health Workers (CHWs) Programme was launched in Luanda, Angola, in 2007 as an initiative of the provincial government. The aim of this study was to assess its implementation process. This is a case study with documental analysis, CHWs reports data, individual interviews and focus groups. Until June 2009, the programme had placed in the community 2,548 trained CHWs, providing potential coverage for 261,357 families. Analysis of qualitative data suggested an association of CHWs with improvements in maternal and child access to health care, as well as an increase in the demand for health services, generating further need to improve service capacity. Nevertheless, critical points for programme sustainability were identified. For continuity and scaling up, the programme needs medium- and long-term technical, political and financial support. The results of this study may be useful in strengthening and reformulating the planning of the CHWs programme in Luanda and in Angola. Moreover, the lessons learned with this experience can also provide insight for the development of CHWs programmes in other parts of the world. By means of cooperation, Brazil has supported the implementation of this CHWs programme and can potentially contribute to its improvement.

  10. Efficacy evaluation of managed population shift in Ukraine from zone of obligate (compulsory) resettlement as a measure of public radiation protection

    International Nuclear Information System (INIS)

    Gun'ko, N.V.

    2015-01-01

    Evaluation of efficacy of the managed population transmigration from zone of obligate (compulsory) resettlement as a measure of civil protection after the Chernobyl NPP accident from the perspective of radiation biology. Materials and methods. Legislative and statutory-tutorial documents that regulate the managed population shift from radiologically contaminated territories of Ukraine and data from the Ukrainian State Service of Statistics on time limits and scopes of population transmigration from contaminated settlements were the informational back ground of the study. Data on retrospective and expected/anticipated radiation doses in population of settlements exposed to radiological contamination in Ukraine after the Chernobyl disaster summarized for the 1986-1997 period and up to 2055 were the information source for calculation of averted doses due to population shift. Battery of basic research empirical evidence review methods was applied under the calculation, systemic, and biomedical approach. Population shift from zone of obligate (compulsory) resettlement (hereafter referred to as Zone 2) to stop the radiation exposure as a tool of civil protection from emergency ionizing radiation after the Chernobyl NPP accident was scientifically substantiated and expedient from the perspective of radiation biology. Estimability of a managed population shift from 'dose-effect' perspective and 'benefit/harm' principle is worse because of data absence on individual radiation doses to migrants in the country. Public shift in 1990 and 1991 was most effective from the viewpoint of level of averted lifetime dose. Due to transmigration the averted lifetime dose to the most vulnerable group of the Chernobyl disaster survivors i.e. children aged 0 years varied from 11.2 to 28.8 mSv (calculated for the Perejizdiv village council of Zhytomyr province). Since 2000 there was almost no public shift being not accomplished in the scheduled scope. Delay and incompleteness of

  11. The IAEA's high level radioactive waste management programme

    International Nuclear Information System (INIS)

    Saire, D.E.

    1994-01-01

    This paper presents the different activities that are performed under the International Atomic Energy Agency's (IAEA) high level radioactive waste management programme. The Agency's programme is composed of five main activities (information exchange, international safety standards, R ampersand D activities, advisory services and special projects) which are described in the paper. Special emphasis is placed on the RADioactive WAste Safety Standards (RADWASS) programme which was implemented in 1991 to document international consensus that exists on the safe management of radioactive waste. The paper also raises the question about the need for regional repositories to serve certain countries that do not have the resources or infrastructure to construct a national repository

  12. Corporate traveler centered development of a loyalty programme

    OpenAIRE

    Keskiväli, Mika

    2015-01-01

    This thesis is a qualitative case study that examined how the airline corporate sales client company employee (known as business traveler) engagement could be developed by the customer co-creation methods in the loyalty programme perspective. The thesis is using the service marketing theory and the service- and customer-dominant logics as the base in understanding the service development and the customer-centric approach. The business-to-business and the relationship marketing theories are in...

  13. A qualitative evaluation of a pilot leadership programme for dentists.

    Science.gov (United States)

    Walsh, Jonathan; Taylor, Nicholas; Hough, Donna; Brocklehurst, Paul

    2015-07-06

    The purpose of this paper was to evaluate a pilot training programme run by Health Education North West to promote clinical leadership amongst general dental practitioners (GDPs). New powers and responsibilities for clinicians have caused a fundamental shift in the way that local services are planned and delivered in England. GDPs are being appointed onto the boards of local professional networks (LPNs) to influence the way that services are delivered at a local level. Analogous to clinical commissioning groups in medicine, the role of LPNs is to ensure that GDPs lead change and drive up the quality of service provision. Clinical leadership has been argued to be fundamentally important in these new structures, but has received little attention in the dental literature. Semi-structured interviews and a focus group were held with participants of the pilot to explore their understanding and experience of clinical leadership. These were recorded, transcribed verbatim and underwent thematic analysis. Nineteen codes were identified and organized into four themes: nature of clinical leadership, challenges for clinical leaders in dentistry, Leadership Exploration and Discovery programme evaluation and future direction. The research provides an understanding of how GDPs conceptualise clinical leadership and provides recommendations for future leadership training programmes. This is the first evaluation of a leadership programme for GDPs and so helps address the paucity of evidence in the dental literature.

  14. Delivering Service Quality in Alcohol Treatment: A Qualitative Comparison of Public and Private Treatment Centres by Service Users and Service Providers

    Science.gov (United States)

    Resnick, Sheilagh M.; Griffiths, Mark D.

    2012-01-01

    In the UK, quality of care has now been placed at the centre of the National Health Service (NHS) modernisation programme. To date, there has been little research on the service quality delivery of alcohol treatment services from the perspective of both the service user and service provider. Therefore, this qualitative study explored the…

  15. The ATFI facilities for the PISC III programme

    International Nuclear Information System (INIS)

    Borloo, E.; Daniele, F.; Jehenson, P.; Van den Bergh, R.; Violin, F.

    1990-01-01

    The initial use of the ATFI facilities (Atelier des Tubes de Force Irradies) was to perform, in the frame of the ORGEL programme (1960-1968), examination and controls on irradiated pressure tubes and the cutting of these pressure tubes for delivery to experimental workers or for evacuation as waste. Since the end of the ORGEL programme, the ATFI facilities have also been used for specific measurements on other irradiated materials. The (CEC-OECD) PISC III programme is directed towards detection and sizing of service induced flaws. Sections of Nuclear Reactors components that really have been in service have to be examined. In 1983, the Commission of the European Communities decided that the ATFI facilities had to be able to perform. (1) the ultrasonic and X-ray examinations of contaminated steel specimens (ferritic and austenitic) up to 4 tons. 1 m 3 as maximum overall dimensions and 250 mm maximum thickness, with a maximum radioactivity contact dose less than 1Rem/h and little transferable contamination. (2) the destructive examination of these contaminated specimens

  16. Network-Embedded Management and Applications Understanding Programmable Networking Infrastructure

    CERN Document Server

    Wolter, Ralf

    2013-01-01

    Despite the explosion of networking services and applications in the past decades, the basic technological underpinnings of the Internet have remained largely unchanged. At its heart are special-purpose appliances that connect us to the digital world, commonly known as switches and routers. Now, however, the traditional framework is being increasingly challenged by new methods that are jostling for a position in the next-generation Internet. The concept of a network that is becoming more programmable is one of the aspects that are taking center stage. This opens new possibilities to embed software applications inside the network itself and to manage networks and communications services with unprecedented ease and efficiency. In this edited volume, distinguished experts take the reader on a tour of different facets of programmable network infrastructure and application exploit it. Presenting the state of the art in network embedded management and applications and programmable network infrastructure, the book c...

  17. Friendship and money: A qualitative study of service users' experiences of participating in a supported socialisation programme.

    Science.gov (United States)

    Sheridan, Ann; O'Keeffe, Donal; Coughlan, Barbara; Frazer, Kate; Drennan, Johnathan; Kemple, Mary

    2018-06-01

    Social opportunities can be limited in the lives of people with enduring mental illness (EMI) due to psychiatric stigma, restricted home environments and employment barriers. Supported socialisation programmes have the potential to redress the impact of social isolation. To explore the experiences of service users with EMI taking part in a supported socialisation programme, using written diary entries. This article reports on the qualitative component of a randomised controlled trial of supported socialisation for people with EMI (published previously in this journal). Trial participation involved (1) being matched with a volunteer partner and engaging in social/leisure activities while receiving a stipend of €20 or (2) receiving this stipend only and engaging in self-driven socialisation. Participants completed written diaries documenting their perspectives on their experiences of supported socialisation. Data were analysed using Thematic Analysis. Experiences of participation were characterised by involvement 'normalising' life, fostering a sense of connectedness, improving physical health, and facilitating engagement with culture. Taking part helped participants integrate socialising into their identity, enhanced their perceived capacity to be social, and cemented/expanded social networks. Participants also experienced significant obstacles to socialisation. Supported socialisation can increase confidence, social competence and self-agency; buffer against psychiatric stigma; build social capital; and afford opportunities to enhance social integration, inclusion and belonging.

  18. UKAEA underlying research programme annual report

    International Nuclear Information System (INIS)

    Moon, D.P.

    1990-01-01

    Investment in fundamental research is essential to the success of an organisation such as Atomic Energy Authority (AEA) Technology whose business is the selling of Research and Development (R and D) and the services relating to it. Such research supplies the scientific understanding that underpins the technical expertise of the organisation, develops new skills and techniques, and stimulates technical innovation. The resulting scientific and technical excellence is the hall-mark of a major contract R and D organisation. Fundamental research in the AEA is co-ordinated through the Underlying Research Programme. This Report describes progress made during the financial year 1988/89 within all Technical Areas of the Programme, and additionally summarises the AEA's Underlying Research on the Safe Integral Reactor design and on 'Cold Fusion'. Highlights of recent technical achievements within the Programme are described in a separate brochure. (author)

  19. Benefits of Continuing Professional Development (CPD) Programmes in Music for KS2 (Primary) Teachers through the Example of the London Symphony Orchestra (LSO) on Track Programme

    Science.gov (United States)

    Varvarigou, Maria; Creech, Andrea; Hallam, Susan

    2012-01-01

    Between September 2008 and August 2010 24 KS2 classroom teachers were involved in a two-year programme of continuing professional development (CPD), delivered by the LSO in partnership with Local Authority Music Services. The teachers indicated that they embarked on the CPD programme looking forward to opportunities to share good practice, gain…

  20. Governance in community based health programmes in I.R of Iran.

    Science.gov (United States)

    Falahat, Katayoun; Eftekhari, Monir Baradaran; Malekafzali, Hossein; Forouzan, Ameneh Setareh; Dejman, Masoumeh

    2013-02-01

    To assess the nature of community-based health programme experience in Iran, and use the results in order to advocate more friendly policies in community, academy and funding organisations. The qualitative study was done in 2010-11 at various locations in Iran using semi structural in-depth interviews with the principals and managers of programmes, and focus group discussions with volunteers and service users of 13 Community Based Health Programmes which were active for at least five years. A total of 21 in-depth interviews and 20 focus group discussions were conducted. Data analysis was based on deductive-inductive content analysis approach considering the pre-determined structure in accordance with the study questions. The participants' views were analysed within the main category of governance, including the three sub-categories of leadership, monitoring and evaluation, and resource mobilisation. According to the participants, governmental programmes have centralised decision-making and management processes and local volunteers have no role in selecting managers at different levels of a programme. Such programmes are funded by the governmental core resources. In non-government organisations, resources available for such purposes mainly come through charitable individuals, service delivery fees and profitable economical activities, financial participation of volunteers and by using other organisations' facilities. In most programmes, there were no systematic process for monitoring and evaluation. Community-based Health programmes in Iran need to be revised in line with the positive input.There is a need to have community-based units within the Ministry of Health and Medical Education and other relevant organisations.

  1. Scoping the impact of the national child measurement programme feedback on the child obesity pathway: study protocol

    Directory of Open Access Journals (Sweden)

    Falconer Catherine

    2012-09-01

    Full Text Available Abstract Background The National Child Measurement Programme was established to measure the height and weight of children at primary school in England and provides parents with feedback about their child’s weight status. In this study we will evaluate the impact of the National Child Measurement Programme feedback on parental risk perceptions of overweight, lifestyle behaviour and health service use. Methods The study will be a prospective cohort study of parents of children enrolled in the National Child Measurement Programme and key service providers from 5 primary care trusts (administrative bodies responsible for providing primary and secondary care services. We will conduct baseline questionnaires, followed by provision of weight feedback and 3 follow up questionnaires over the course of a year. Questionnaires will measure change in parental risk perception of overweight, health behaviours and health service use. Qualitative interviews will be used to identify barriers and facilitators to change. This study will produce preliminary data on National Health Service costs associated with weight feedback and determine which feedback approach (letter and letter plus telephone is more effective. Discussion This study will provide the first large scale evaluation of the National Child Measurement Programme feedback. Findings from this evaluation will inform future planning of the National Child Measurement Programme.

  2. The Agency's Technical Co-operation programme with Niger, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With some $1.5 million of Agency support received, Niger ranks 65th among all recipients of technical assistance in the period 1958 through 1991. About two-thirds of the assistance received during the past ten years has been provided in the form of equipment (62%), complemented by expert services (26%) and training (12%). Almost the entire resources utilized were provided by the Technical Assistance and Co-operation Fund (96%), with only a small share made available through assistance in kind (4%). With regard to project disbursements by sector, the four major areas have been agriculture (34%), general atomic energy development (31%), hydrology (18%) and nuclear safety (12%)

  3. "First, do no harm": legal guidelines for health programmes affecting adolescents aged 10-17 who sell sex or inject drugs.

    Science.gov (United States)

    Conner, Brendan

    2015-01-01

    There is a strong evidence base that the stigma, discrimination and criminalization affecting adolescent key populations (KPs) aged 10-17 is intensified due to domestic and international legal constructs that rely on law-enforcement-based interventions dependent upon arrest, pre-trial detention, incarceration and compulsory "rehabilitation" in institutional placement. While there exists evidence and rights-based technical guidelines for interventions among older cohorts, these guidelines have not yet been embraced by international public health actors for fear that international law applies different standards to adolescents aged 10-17 who engage in behaviours such as selling sex or injecting drugs. As a matter of international human rights, health, juvenile justice and child protection law, interventions among adolescent KPs aged 10-17 must not involve arrest, prosecution or detention of any kind. It is imperative that interventions not rely on law enforcement, but instead low-threshold, voluntary services, shelter and support, utilizing peer-based outreach as much as possible. These services must be mobile and accessible, and permit alternatives to parental consent for the provision of life-saving support, including HIV testing, treatment and care, needle and syringe programmes, opioid substitution therapy, safe abortions, antiretroviral therapy and gender-affirming care and hormone treatment for transgender adolescents. To ensure enrolment in services, international guidance indicates that informed consent and confidentiality must be ensured, including by waiver of parental consent requirements. To remove the disincentive to health practitioners and researchers to engaging with adolescent KPs aged 10-17 government agencies and ethical review boards are advised to exempt or grant waivers for mandatory reporting. In the event that, in violation of international law and guidance, authorities seek to involuntarily place adolescent KPs in institutions, they are

  4. A formative evaluation of a staff reward and recognition programme

    Directory of Open Access Journals (Sweden)

    Saleemah Salie

    2012-07-01

    Research purpose: The main aim of this evaluation was to test the plausibility of the programme theory underlying a staff reward and recognition programme within a retail setting. Secondary aims were to assess whether or not the programme was implemented as intended and whether or not its outcomes were well defined. Motivation for the study: Different groups of people may have different assumptions about whether a reward and recognition programme works or not. This evaluation was motivated by the different assumptions held by programme stakeholders, programme recipients and social science researchers regarding the programme. Research design, approach and method: This formative evaluation used a descriptive design. Primary qualitative data were collected by means of structured interviews with the Human Resource Development (HRD Facilitator and ten programme participants. Main findings: The results showed that the programme theory was not plausible and that the programme was not implemented as intended. Although the HRD Facilitator and the participants agreed that the programme led to improved customer service, they disagreed about the other programme outcomes. Practical/managerial implications: This evaluation contains practical suggestions for improving the programme theory, the programme implementation process and the redefinition of the outcomes of the programme as standard performance indicators. Contribution/value-add: This evaluation contributed to the limited literature on the effect of reward and recognition programmes. Whilst there is a vast amount of literature pertaining to such programmes, very few formal evaluations exist about them.

  5. THE WAY TO THE COMPULSORY EDUCATION (VSEOBUCH: ACHIEVEMENTS AND CHALLENGES IN THE DEVELOPMENT OF PUBLIC EDUCATION IN RURAL AREAS OF PERM PROVINCE IN THE SECOND HALF OF THE XIX – EARLY XX CENTURY

    Directory of Open Access Journals (Sweden)

    Svetlana V. Golikova

    2016-01-01

    Full Text Available The aim of the publication is the analysis of formation and development of the primary school in the post-reform period in rural areas of the Perm province in terms of its strategic perspective which suggests transition to compulsory primary education as an integral part of the process of creating social and cultural environment of modern times.Methods. Education is observed in terms of institutional and systemic approaches, and the post-reform stage of its development is analyzed in the context of the modernization theory. Historical-dynamic analysis and comparative-historical method are mostly used when systemizing factual data.Results. The article reveals basic stages and characteristics of elementary public schools in the Perm province countryside during pre-vseobuch (compulsory education period. The dynamics of the educational process in reference to the number of schools and enrollments is shown; the scale of the process and the participation of the «zemstvo system» (i.e. district council and the Orthodox Church in it are estimated. The clergy’s view on parochial schools as a special type of educational institutions is also described. Difficulties faced by public school policy during the implementation of rural compulsory education in the province are marked. It is shown that to achieve total literacy in the rural areas in the pre-revolutionary period was impossible in spite of the accelerated speed of the school education and substantial progress in the organization of the compulsory primary education.Scientific novelty. Turning to the history of compulsory elementary schools in terms of the «compulsory education paradigm» offers the possibility to set clear criteria for assessing the level of development of the education system and show how the compulsory education environment was formed.Practical significance. The results of the study and the facts introduced into scientific use can be adopted as a part of

  6. Review of a community oral health programme in Nigeria after ten ...

    African Journals Online (AJOL)

    It comprises school health programmes, health education programmes for specific target groups, examination for early detection of diseases and provision of dental services at the clinic located on site. Within the first ten years under review (1988-1997), a total of 780 patients were seen at the dental clinic. Three hundred ...

  7. Should I take Further Mathematics? Physics undergraduates’ experiences of post-compulsory Mathematics

    Science.gov (United States)

    Bowyer, Jessica; Darlington, Ellie

    2017-01-01

    It is essential that physics undergraduates are appropriately prepared for the mathematical demands of their course. This study investigated physics students’ perceptions of post-compulsory mathematics as preparation for their degree course. 494 physics undergraduates responded to an online questionnaire about their experiences of A-level Mathematics and Further Mathematics. The findings suggest that physics undergraduates would benefit from studying Further Mathematics and specialising in mechanics during their A-level studies. As both A-level Mathematics and Further Mathematics are being reformed, universities should look closely at the benefits of Further Mathematics as preparation for their physics courses and either increase their admissions requirements, or recommend that students take Further Mathematics.

  8. HIV rapid diagnostic testing by lay providers in a key population-led health service programme in Thailand.

    Science.gov (United States)

    Wongkanya, Rapeeporn; Pankam, Tippawan; Wolf, Shauna; Pattanachaiwit, Supanit; Jantarapakde, Jureeporn; Pengnongyang, Supabhorn; Thapwong, Prasopsuk; Udomjirasirichot, Apichat; Churattanakraisri, Yutthana; Prawepray, Nanthika; Paksornsit, Apiluk; Sitthipau, Thidadaow; Petchaithong, Sarayut; Jitsakulchaidejt, Raruay; Nookhai, Somboon; Lertpiriyasuwat, Cheewanan; Ongwandee, Sumet; Phanuphak, Praphan; Phanuphak, Nittaya

    2018-01-01

    Introduction:  Rapid diagnostic testing (RDT) for HIV has a quick turn-around time, which increases the proportion of people testing who receive their result. HIV RDT in Thailand has traditionally been performed only by medical technologists (MTs), which is a barrier to its being scaled up. We evaluated the performance of HIV RDT conducted by trained lay providers who were members of, or worked closely with, a group of men who have sex with men (MSM) and with transgender women (TG) communities, and compared it to tests conducted by MTs. Methods:  Lay providers received a 3-day intensive training course on how to perform a finger-prick blood collection and an HIV RDT as part of the Key Population-led Health Services (KPLHS) programme among MSM and TG. All the samples were tested by lay providers using Alere Determine HIV 1/2. HIV-reactive samples were confirmed by DoubleCheckGold Ultra HIV 1&2 and SD Bioline HIV 1/2. All HIV-positive and 10% of HIV-negative samples were re-tested by MTs using Serodia HIV 1/2. Results:  Of 1680 finger-prick blood samples collected and tested using HIV RDT by lay providers in six drop-in centres in Bangkok, Chiang Mai, Chonburi and Songkhla, 252 (15%) were HIV-positive. MTs re-tested these HIV-positive samples and 143 randomly selected HIV-negative samples with 100% concordant test results. Conclusion:  Lay providers in Thailand can be trained and empowered to perform HIV RDT as they were found to achieve comparable results in sample testing with MTs. Based on the task-shifting concept, this rapid HIV testing performed by lay providers as part of the KPLHS programme has great potential to enhance HIV prevention and treatment programmes among key at-risk populations.

  9. Quality Management in Slovenian Education Programmes

    Directory of Open Access Journals (Sweden)

    Milena Alič

    2015-05-01

    Full Text Available Product and service quality, effective process management, continuous improvement and innovation are some essential conditions for making a successful business. They are often emphasised by managers of successful organizations, by authors of professional and scientific papers and even by politicians and journalists. Quality management standards and models, such as ISO 9001 and EFQM model appeared in assistance to the needs of organisations to assure stable product and service quality, to improve it and to make the production process and its supporting processes effective. It has been 28 years since the standard ISO 9001 appeared. Now it is the most widely spread global standard implemented in more than 1.100.000 organizations worldwide. If quality management was proved to be an important approach to make organizations operate better and thus to contribute to well-being of the society, it would be expected that it is somehow included in our regular school programmes on all the levels. We expect that learning and living quality approaches in childhood and youth would be the least costly way to improve the culture of quality in the society and to implement it in our organizations as well. The paper gives some insight in the situation by searching for quality management related programmes and approaches in our primary, secondary and tertiary school programmes. The purpose of this paper is only to highlight the issue of teaching for quality in our regular education programmes – just to become aware of it and to find some improvement opportunities. There should be still some more detailed research on this topic to give strong suggestions.

  10. Comprehensive Coaching Service for Schools: Approaches to its Configuration in Mexico

    Directory of Open Access Journals (Sweden)

    Graciela Cordero Arroyo

    2014-12-01

    Full Text Available This article analyzes the initial drafts of the Technical Assistance for Schools (SATE—acronym in Spanish—a comprehensive coaching service for which federal guidelines have yet to be established—in the context of current educational reform in Mexico. To this end, an analysis was made of all legal documents as well as various programmatic documents related to compulsory education that were released during 2013 and 2014. The paper is organized in three sections: the first describes the history of this type of service in Mexico; the second reviews the information provided on SATE in the legal documents of the current educational policy; and the third section discusses what should be taken into account for proper implementation of a service of this nature.

  11. The programme benefits of improving project team communication through a contact centre

    Directory of Open Access Journals (Sweden)

    Bond-Barnard, T. J.

    2013-08-01

    Full Text Available A South African national programme to repair government infrastructure uses a contact centre (or call centre to facilitate and manage communication. An important question is: How does the contact centre benefit the programme and its projects? This study discusses the findings of a survey that quantified the benefits of the programme when the communication between team members in the programme was improved by using a contact centre. The results show that, by using a contact centre to improve the communication between project team members, their perception of communication effectiveness, quality of project deliverables, service delivery, and customer satisfaction of the programme dramatically increases.

  12. The IAEA Accident Management Programme

    Energy Technology Data Exchange (ETDEWEB)

    Kabanov, L.; Jankowski, M.; Mauersberger, H. (International Atomic Energy Agency, Vienna (Austria))

    1993-02-01

    Accident prevention and mitigation programmes and the Emergency Response System (ERS) are important elements of the Agency's activities in the area of nuclear power plant (NPP) safety. Safety Codes and Guides on siting, design, quality assurance and the operation of NPPs have been produced and are used by NPP operating organizations. Nuclear safety evaluation services are provided by the IAEA. The Emergency Response System and the International Nuclear Event Scale (INES) have been developed. The framework for the development of an accident management programme has been set up. The main goal is to develop an Accident Management Manual to provide a systematic, structured approach to the development and implementation of an accident management programme at NPPs. An outline of the Manual has been distributed and the first draft is available. The component parts are: Co-ordinated research programmes (CRPs) on severe accident management and containment behaviour; the use of vulnerability analysis; mitigation of the effects of hydrogen, and generic symptom oriented emergency operating procedures. The IAEA provides guidance by the dissemination of information on methods for accident management; collates information on approaches in this field in different organizations and countries; and arranges exchange of experience and the promulgation of knowledge through the training of NPP managers and senior technical staff. (orig.).

  13. The IAEA Accident Management Programme

    International Nuclear Information System (INIS)

    Kabanov, L.; Jankowski, M.; Mauersberger, H.

    1993-01-01

    Accident prevention and mitigation programmes and the Emergency Response System (ERS) are important elements of the Agency's activities in the area of nuclear power plant (NPP) safety. Safety Codes and Guides on siting, design, quality assurance and the operation of NPPs have been produced and are used by NPP operating organizations. Nuclear safety evaluation services are provided by the IAEA. The Emergency Response System and the International Nuclear Event Scale (INES) have been developed. The framework for the development of an accident management programme has been set up. The main goal is to develop an Accident Management Manual to provide a systematic, structured approach to the development and implementation of an accident management programme at NPPs. An outline of the Manual has been distributed and the first draft is available. The component parts are: Co-ordinated research programmes (CRPs) on severe accident management and containment behaviour; the use of vulnerability analysis; mitigation of the effects of hydrogen, and generic symptom oriented emergency operating procedures. The IAEA provides guidance by the dissemination of information on methods for accident management; collates information on approaches in this field in different organizations and countries; and arranges exchange of experience and the promulgation of knowledge through the training of NPP managers and senior technical staff. (orig.)

  14. PROPOSAL OF VOIVODESHIP ROAD SAFETY IMPROVEMENT PROGRAMME

    Directory of Open Access Journals (Sweden)

    Tomasz SZCZURASZEK

    2016-07-01

    Full Text Available The article presents a proposal of the ‘GAMBIT KUJAWSKO-POMORSKI’ Road Safety Improvement Programme. The main idea of the Programme is to establish and initiate systems that will be responsible for the most important areas of activity within road safety, including road safety control, supervision, and management systems in the whole Voivodeship. In total, the creation and start of nine such systems has been proposed, namely: the Road Safety Management, the Integrated Road Rescue Service, the Personnel Continuing Education, the Hazardous Road Behaviour Monitoring, the Social Education for Safe Behaviour on Road, the Teaching Personnel Improvement, the Area Development and Planning Process Improvement, the Road Infrastructure Design Quality Improvement, and the Road and Traffic Management Process Efficiency Improvement. The basic aim of each system has been discussed as well as the most important tasks implemented as its part. The Road Safety Improvement Programme for the Kujawsko-Pomorskie Voivodeship presented in this article is a part of the National Road Safety Programme 2013-2020. Moreover, it is not only an original programme in Poland, but also a universal project that may be adapted for other voivodeships as well.

  15. The Copernicus programme and its Climate Change Service (C3S): a European answer to Climate Change

    Science.gov (United States)

    Pinty, Bernard; Thepaut, Jean-Noel; Dee, Dick

    2016-07-01

    In November 2014, The European Centre for Medium-range Weather Forecasts (ECMWF) signed an agreement with the European Commission to deliver two of the Copernicus Earth Observation Programme Services on the Commission's behalf. The ECMWF delivered services - the Copernicus Climate Change Service (C3S) and Atmosphere Monitoring Service (CAMS) - will bring a consistent standard to how we measure and predict atmospheric conditions and climate change. They will maximise the potential of past, current and future earth observations - ground, ocean, airborne, satellite - and analyse these to monitor and predict atmospheric conditions and in the future, climate change. With the wealth of free and open data that the services provide, they will help business users to assess the impact of their business decisions and make informed choices, delivering a more energy efficient and climate aware economy. These sound investment decisions now will not only stimulate growth in the short term, but reduce the impact of climate change on the economy and society in the future. C3S is in its proof of concept phase and through its climate data store will provide global and regional climate data reanalyses; multi-model seasonal forecasts; customisable visual data to enable examination of wide range of scenarios and model the impact of changes; access to all the underlying data, including climate data records from various satellite and in-situ observations. In addition, C3S will provide key indicators on climate change drivers (such as carbon dioxide) and impacts (such as reducing glaciers). The aim of these indicators will be to support European adaptation and mitigation policies in a number of economic sectors. The presentation will provide an overview of this newly created Service, its various components and activities, and a roadmap towards achieving a fully operational European Climate Service at the horizon 2019-2020. It will focus on the requirements for quality-assured Observation

  16. Scientific knowledge at the service of the COP21. A collection of research projects 2008-2015 from the 'Management and impacts of Climate Change' programme

    International Nuclear Information System (INIS)

    Maljean-Dubois, Sandrine; Quenol, Herve; Glachant, Matthieu; Haurie, Alain; Braconnot, Pascal; Dandin, Philippe; Sauquet, Eric; Salles, Denis; Le Hir, Pierre; Bossini, Serge; Imbard, Maurice; Tabau, Anne-Sophie

    2015-11-01

    After a presentation of the GICC research programme (a programme on the Management and Impacts of Climate Change), presentations of various researches are proposed. They deal with climate change mitigation as an aid to decision (a legal interpretation of major stakes; study of the industrial economy of sector-based agreements, ETEM-AR or modelling mitigation and adaptation of the energy system in a local climate plan), with climate services as support to decision (INVULNERABLE, a study of the vulnerability of enterprises; DRIAS to give access to French regionalized climate simulations and scenarios), and with the adaptation to climate change to the service of the territory (R2D2 2050, study of risk, water resource and sustainable management of the Durance river in 2050; C3E2, study of the consequences of climate change on the eco-morphology of estuaries; TERADCLIM, study of the adaptation to climate change at the scale of wine growing territories)

  17. Strengthening medical education in haematology and blood transfusion: postgraduate programmes in Tanzania.

    Science.gov (United States)

    Makani, Julie; Lyimo, Magdalena; Magesa, Pius; Roberts, David J

    2017-06-01

    Haematology and blood transfusion, as a clinical and laboratory discipline, has a far-reaching impact on healthcare both through direct patient care as well as provision of laboratory and transfusion services. Improvement of haematology and blood transfusion may therefore be significant in achieving advances in health in Africa. In 2005, Tanzania had one of the lowest distributions of doctors in the world, estimated at 2·3 doctors per 100 000 of population, with only one haematologist, a medical doctor with postgraduate medical education in haematology and blood transfusion. Here, we describe the establishment and impact of a postgraduate programme centred on Master of Medicine and Master of Science programmes to build the capacity of postgraduate training in haematology and blood transfusion. The programme was delivered through Muhimbili University of Health and Allied Sciences (MUHAS) with partnership from visiting medical and laboratory staff from the UK and complemented by short-term visits of trainees from Tanzania to Haematology Departments in the UK. The programme had a significant impact on the development of human resources in haematology and blood transfusion, successfully training 17 specialists with a significant influence on delivery of health services and research. This experience shows how a self-sustaining, specialist medical education programme can be developed at low cost within Lower and Middle Income Countries (LMICs) to rapidly enhance delivery of capacity to provide specialist services. © 2017 John Wiley & Sons Ltd.

  18. Resister's logic: the anti-vaccination arguments of Alfred Russel Wallace and their role in the debates over compulsory vaccination in England, 1870-1907.

    Science.gov (United States)

    Fichman, Martin; Keelan, Jennifer E

    2007-09-01

    In the 1880s, Alfred Russel Wallace, the celebrated co-discoverer of natural selection, launched himself into the centre of a politicised and polarised debate over the unpopular compulsory vaccination laws in England. Wallace never wavered in his belief that smallpox vaccination was useless and likely dangerous. Six years before his death, the anti-vaccinationists successfully secured a conscience clause that effectively dismantled the compulsory vaccination laws. Several other important Victorian scientists joined Wallace in the fight to repeal compulsory vaccination arguing that widely held views on the effectiveness of vaccination and evidence for immunity were inconclusive in the light of (then) contemporary standards of evidence. This article situates Wallace's anti-vaccination logic within the broader matrix of sociopolitical and cultural reform movements of the late Victorian era. Additionally it provides the first detailed analysis of his critique of vaccination science, in particular the role statistics played in his arguments. In this period, both pro-vaccinationists and anti-vaccinationists invested great efforts in collating and analysing statistical data sets that either supported or refuted the claims of vaccination's effectiveness. While each side presented 'controlled' case studies to support their assertions, without an unambiguous test to measure or demonstrate vaccination's effectiveness, the anti-vaccinationists continued to mount credible statistical critiques of vaccination science.

  19. Developing a Model of Compulsory Basic Education Completion Acceleration in Support of Millennium Development Goals in Magelang, Indonesia

    Science.gov (United States)

    Sukarno; Haryati, Sri

    2015-01-01

    This article reports Year One of a two-year study to develop a model to accelerate compulsory basic education completion toward Millennium Development Goals (MDGs) in Magelang, Indonesia. The study focuses on five issues: (1) profile of MDGs in Magelang, (2) achievement of MDGs, (3) problems in MDGs implementation, (4) model of compulsary basic…

  20. The Returns to Education in China: Evidence from the 1986 Compulsory Education Law. NBER Working Paper No. 18189

    Science.gov (United States)

    Fang, Hai; Eggleston, Karen N.; Rizzo, John A.; Rozelle, Scott; Zeckhauser, Richard J.

    2012-01-01

    As China transforms from a socialist planned economy to a market-oriented economy, its returns to education are expected to rise to meet those found in middle-income established market economies. This study employs a plausible instrument for education: the China Compulsory Education Law of 1986. We use differences among provinces in the dates of…

  1. Optional Protocol concerning the compulsory settlement of disputes to the Vienna Convention on civil liability for nuclear damage

    International Nuclear Information System (INIS)

    1999-01-01

    The document reproduces the text of the Optional Protocol Concerning the Compulsory Settlement of Disputes to the Vienna Convention on Civil Liability for Nuclear Damage which was adopted on 21 May 1963 by the International Conference held in Vienna from 29 April to 19 May 1963. It came into force on 13 May 1999

  2. Paediatric surgery outreach: analysis of referrals to a tertiary paediatric surgery service to plan an outreach programme Kwa-Zulu Natal, South Africa.

    Science.gov (United States)

    Manickchund, Yashoda; Hadley, G P

    2017-10-01

    Paediatric surgical disease is a neglected health problem. Patients travel great distances to tertiary level care for management. This study aimed at analysing referral patterns to design an outreach programme for paediatric surgery in KwaZulu Natal. Data forms of patients referred to the service between January and July 2016 were correlated with the clinical record. Delays in management were compared to morbidity and mortality. Out of 781, 158 referrals were accepted as emergencies. The majority (62%) were children aged < 1 year. Gastro-intestinal problems (38.4%) and congenital anomalies (26.9%) formed the majority. Patients who died had a significantly longer delay in transfer. Longer total delay was associated with statistically significant greater morbidity. In a setting where a large rural population is served by single-centre tertiary care, delays exist and contribute to morbidity. The authors advocate the establishment of an outreach programme to address these issues.

  3. The Agency's Technical Co-operation programme with Ethiopia, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With some $2.5 million of Agency support received, Ethiopia ranks 54th among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance received during the past ten years has been provided in the form of equipment (55%), complemented by expert services (16%) and training (29%). The best part of the resources was provided by the Technical Assistance and Co-operation Fund (88%), the remainder was made available through assistance in kind (6%), UNDP and extrabudgetary contributions (3% each). During the past ten years, project disbursements went to four major areas: agriculture (45%), nuclear medicine (35%), nuclear safety (14%) and nuclear engineering and technology (6%)

  4. The Agency's Technical Co-operation programme with Uganda, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $1.6 million of Agency support received, Uganda ranks 61st among all recipients of technical assistance in the period 1958 through 1991. Almost half of the assistance received during the past ten years has been provided in the form of equipment (47%), complemented by a strong training component (37%), while expert services have received only a relatively small share (16%). Ninety-eight per cent of the resources were provided by the Technical Assistance and Co-operation Fund, the remaining two per cent were made available through assistance in kind. During the past ten years, project activities - and disbursements - have concentrated exclusively on three major areas: agriculture (64%), nuclear medicine (24%) and nuclear safety (12%)

  5. The Agency's Technical Co-operation programme with Cameroon, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $1.3 million of Agency support received, Cameroon ranks 68th among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance received during the past ten years has been provided in the form of equipment (61%), followed by expert services (24%) and training (15%). The best part of the resources were provided by the Technical Assistance and Co-operation Fund (90%); the remaining ten per cent were made available through extrabudgetary contributions (8%) and assistance in kind (2%). With regard to project disbursements by sector, the four major areas have been nuclear physics and chemistry (38%), agriculture (23%), nuclear medicine (14%) and hydrology (13%)

  6. Robust and Specific Personality Traits as Predictors of Adolescents' Final Grades and GPA at the End of Compulsory Schooling

    Science.gov (United States)

    Smrtnik Vitulic, Helena; Zupancic, Maja

    2013-01-01

    The study investigated the predictive value of robust and specific personality traits in adolescents (M[subscript age]?=?14.7 years), in explaining their academic achievement at the end of basic compulsory schooling. Personality data were obtained through self, maternal, and peer reports using the Inventory of Child/Adolescent Individual…

  7. Vocations: The Link between Post-Compulsory Education and the Labour Market. What the Research Says For... Qualification & Approval Bodies

    Science.gov (United States)

    Wheelahan, Leesa; Buchanan, John; Yu, Serena

    2015-01-01

    This summary pulls together the relevant key findings for qualification and approval bodies from the research program "Vocations: The Link between Post-Compulsory Education and the Labour Market." The program was comprised of three different strands: (1) pathways from VET in Schools, (2) pathways within and between vocational education…

  8. An evaluation of students' perceptions of a college-based programme that involves patients, carers and service users in physiotherapy education.

    Science.gov (United States)

    Thomson, Di; Hilton, Ros

    2012-03-01

    There is little evidence of the integration of UK physiotherapy university education into clinical practice, and some students say that they are not adequately prepared for professional life. This was addressed by a college-based programme involving patients, carers and service users as facilitators of learning to enhance the partnership between health professionals and patients. This programme has been running for 2 years, and this paper is an evaluation of the students' perceptions of it, appraising the outcomes of their learning in order to discover the ways in which it can be enhanced, improved or changed. A grounded theory approach utilizing focus groups and semi-structured interviews was conducted. Three focus groups representing the higher educational levels 4-6 in pre-registration physiotherapy were carried out. Following the analysis of the focus groups, seven interviews reflecting the three educational levels were conducted in order to explore in greater depth the findings from the focus groups. The analysis of the focus groups and the subsequent interviews were carried out in accordance with a grounded theory framework. The students perceived the programme as a context in which to think how their learning needs could be met within a 'real' framework but on their own territory. Equally, it created feelings of anxiety at being given such an open forum that created a challenge to their communication skills. Many expressed a wish for a more explicit mentoring-learning environment. They also perceived a tension between the technical-rational demands of academia and social practice and a need to view this as a basis for critical appraisal and self-awareness. This programme appeared to be integral to the students' development as future physiotherapists. Copyright © 2011 John Wiley & Sons, Ltd.

  9. Training in radiological protection for nuclear programmes

    International Nuclear Information System (INIS)

    1975-01-01

    Many Member States are developing or already have developed their own national training programmes. The IAEA is actively involved in promoting training in radiological protection for nuclear programmes. The various types of training are fully discussed, with suggested curricula. An earlier report was published as Technical Reports Series No.31 in 1964. In 1973, new and additional information was received from Member States which is reflected in the present report. Training programmes are classified, according to those requiring training: specialists; persons whose work is closely related to radiological protection (administrators, public health officers and industrial health personnel, safety inspectors and engineers in nuclear installations, public service personnel); persons working with radiation; and the general public. Forms, scope and duration of training are discussed. Different types of training programmes are currently required for training of medical doctors (those providing medical surveillance for radiation workers and others dealing with public health aspects of radiation hazards), for technical supervisors, radiologists, and qualified workers in nuclear medicine, technological staff, administrators, persons working with radiation, and public service personnel. Standard curricula and desirable experiments and exercises are discussed. The organization of training together with the facilities, equipment and teaching staff required are considered, as is follow-up training. Annexes 1 to 4 give examples of training curricula and training courses available in various countries, a suggested syllabus for training of technical supervisors, and a bibliography consisting of 210 references dealing with general topics, nuclear radiation physics, radiochemistry and radiation chemistry, radiation biology and biophysics, dosimetry and health physics and radiation protection, medical aspects and toxicology, and environmental aspects

  10. Global health training in US obstetrics and gynaecology residency programmes: perspectives of students, residents and programme directors.

    Science.gov (United States)

    Nathan, Lisa M; Banks, Erika H; Conroy, Erin M; McGinn, Aileen P; Ghartey, Jeny P; Wagner, Sarah A; Merkatz, Irwin R

    2015-12-01

    Benefits of exposure to global health training during medical education are well documented and residents' demand for this training is increasing. Despite this, it is offered by few US obstetrics and gynaecology (OBGYN) residency training programmes. To evaluate interest, perceived importance, predictors of global health interest and barriers to offering global health training among prospective OBGYN residents, current OBGYN residents and US OGBYN residency directors. We designed two questionnaires using Likert scale questions to assess perceived importance of global health training. The first was distributed to current and prospective OBGYN residents interviewing at a US residency programme during 2012-2013. The second questionnaire distributed to US OBGYN programme directors assessed for existing global health programmes and global health training barriers. A composite Global Health Interest/Importance score was tabulated from the Likert scores. Multivariable linear regression was performed to assess for predictors of Global Health Interest/Importance. A total of 159 trainees (77%; 129 prospective OBGYN residents and 30 residents) and 69 (28%) programme directors completed the questionnaires. Median Global Health Interest/Importance score was 7 (IQR 4-9). Prior volunteer experience was predictive of a 5-point increase in Global Health Interest/Importance score (95% CI -0.19 to 9.85; p=0.02). The most commonly cited barriers were cost and time. Interest and perceived importance of global health training in US OBGYN residency programmes is evident among trainees and programme directors; however, significant financial and time barriers prevent many programmes from offering opportunities to their trainees. Prior volunteer experience predicts global health interest. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programmes

    Science.gov (United States)

    Conlon, Claudia M.; Higgs, Elizabeth S.; Townsend, John W.; Nahed, Matta G.; Cavanaugh, Karen; Grainger, Corinne G.; Okal, Jerry; Gorter, Anna C.

    2013-01-01

    It is increasingly clear that Millennium Development Goal 4 and 5 will not be achieved in many low- and middle-income countries with the weakest gains among the poor. Recognizing that there are large inequalities in reproductive health outcomes, the post-2015 agenda on universal health coverage will likely generate strategies that target resources where maternal and newborn deaths are the highest. In 2012, the United States Agency for International Development convened an Evidence Summit to review the knowledge and gaps on the utilization of financial incentives to enhance the quality and uptake of maternal healthcare. The goal was to provide donors and governments of the low- and middle-income countries with evidence-informed recommendations on practice, policy, and strategies regarding the use of financial incentives, including vouchers, to enhance the demand and supply of maternal health services. The findings in this paper are intended to guide governments interested in maternal health voucher programmes with recommendations for sustainable implementation and impact. The Evidence Summit undertook a systematic review of five financing strategies. This paper presents the methods and findings for vouchers, building on a taxonomy to catalogue knowledge about voucher programme design and functionality. More than 120 characteristics under five major categories were identified: programme principles (objectives and financing); governance and management; benefits package and beneficiary targeting; providers (contracting and service pricing); and implementation arrangements (marketing, claims processing, and monitoring and evaluation). Among the 28 identified maternal health voucher programmes, common characteristics included: a stated objective to increase the use of services among the means-tested poor; contracted-out programme management; contracting either exclusively private facilities or a mix of public and private providers; prioritizing community

  12. A taxonomy and results from a comprehensive review of 28 maternal health voucher programmes.

    Science.gov (United States)

    Bellows, Ben W; Conlon, Claudia M; Higgs, Elizabeth S; Townsend, John W; Nahed, Matta G; Cavanaugh, Karen; Grainger, Corinne G; Okal, Jerry; Gorter, Anna C

    2013-12-01

    It is increasingly clear that Millennium Development Goal 4 and 5 will not be achieved in many low- and middle-income countries with the weakest gains among the poor. Recognizing that there are large inequalities in reproductive health outcomes, the post-2015 agenda on universal health coverage will likely generate strategies that target resources where maternal and newborn deaths are the highest. In 2012, the United States Agency for International Development convened an Evidence Summit to review the knowledge and gaps on the utilization of financial incentives to enhance the quality and uptake of maternal healthcare. The goal was to provide donors and governments of the low- and middle-income countries with evidence-informed recommendations on practice, policy, and strategies regarding the use of financial incentives, including vouchers, to enhance the demand and supply of maternal health services. The findings in this paper are intended to guide governments interested in maternal health voucher programmes with recommendations for sustainable implementation and impact. The Evidence Summit undertook a systematic review of five financing strategies. This paper presents the methods and findings for vouchers, building on a taxonomy to catalogue knowledge about voucher programme design and functionality. More than 120 characteristics under five major categories were identified: programme principles (objectives and financing); governance and management; benefits package and beneficiary targeting; providers (contracting and service pricing); and implementation arrangements (marketing, claims processing, and monitoring and evaluation). Among the 28 identified maternal health voucher programmes, common characteristics included: a stated objective to increase the use of services among the means-tested poor; contracted-out programme management; contracting either exclusively private facilities or a mix of public and private providers; prioritizing community

  13. A regional programme to improve skin cancer management.

    Science.gov (United States)

    McGeoch, Graham R; Sycamore, Mark J; Shand, Brett I; Simcock, Jeremy W

    2015-12-01

    In 2008, public specialist and general practice services in Canterbury were unable to manage demand for skin cancer treatment. Local clinicians decided the solution was to develop a see-and-treat skin excision clinic staffed by plastic surgeons and general practitioners (GPs), and the introduction of subsidised excisions in general practice. This paper describes the collaboration between clinicians, managers and funders and the results and quality management measures of these initiatives. There is an increasing incidence of skin cancer. GPs in Canterbury were unable to meet increasing demand for skin cancer treatment because some lacked confidence and competence in skin cancer management. There was no public funding for primary care management of skin cancer, driving patients to fully funded secondary care services. Secondary care services were at capacity, with no coordinated programme across primary and secondary care. The programme has resulted in a greater number of skin cancers being treated by the public health system, a reduction in waiting times for treatment, and fewer minor skin lesions being referred to secondary care. Quality measures have been achieved and are improving steadily. Development of the programme has improved working relationships between primary and secondary care clinicians. The strategy was to facilitate the working relationship between primary and secondary care and increase the capacity for skin lesion excisions in both sectors. Skin cancer management can be improved by a coordinated approach between primary and secondary care.

  14. Radiochemistry Programme biennial progress report 1984 and 1985

    International Nuclear Information System (INIS)

    1986-01-01

    This biennial progress report of the Radiochemistry Programme covers the calendar years 1984 and 1985. This report is organised into sections in a manner similar to the organisation of the Radiochemistry Programme. Thus the section on Fuel Behaviour Studies include post-irradiation studies (where the emphasis has been on setting up of facilities), mass spectrometry an nuclear chemistry. Process Chemistry Section covers the activities relating to fuel reprocessing as well as preparation and characterisation of fuel materials. Solid State Chemistry Section deals with thermophysical properties, thermogravimetry, oxygen potentials etc. In the Sodium Chemistry Section the developments relating to on-line meters and their applications are stressed in addition to studies on ternary systems involving sodium and oxygen. Developments in analytical chemistry and analytical services are covered in the next two Sections. Technical Services Section deals with developments in instrumentation and mechanical fabrication. (author)

  15. Vocations: The Link between Post-Compulsory Education and the Labour Market. What the Research Says For... Government & Policy-Makers

    Science.gov (United States)

    Wheelahan, Leesa; Buchanan, John; Yu, Serena

    2015-01-01

    This summary brings together the relevant key findings for government and policy-makers from the research program "Vocations: The Link between Post-Compulsory Education and the Labour Market." The program was comprised of three different strands: (1) pathways from VET in Schools, (2) pathways within and between vocational education and…

  16. Self-Access Language Learning Programme: The Case of the English Language Voluntary Intensive Independent Catch-up Study

    Directory of Open Access Journals (Sweden)

    Salomi Papadima-Sophocleous

    2013-06-01

    Full Text Available This study investigated whether and to what extent an English Language Voluntary Intensive Independent Catch-up Study (ELVIICS, a Self-Access Language Learning (SALL programme, was effective in helping first-year Greek-Cypriot students fill in the gaps in their English language learning and come closer to the required language competence level of the Common European Framework of Reference (CEFR B1 level. It also examined students’ perceptions of such learning. The students followed the ELVIICS at their own pace, time and space until they felt they had reached the aimed level. Analysis of the achievement test results revealed that students’ language competence improved and reached the required level. Additional quantitative data also revealed that students felt ELVIICS also helped them improve their self-confidence, computer skills and autonomous learning. Moreover, students claimed that ELVIICS assisted them in getting through and successfully completing their compulsory course.

  17. Service user involvement in undergraduate mental health nursing in New Zealand.

    Science.gov (United States)

    Schneebeli, Carole; O'Brien, Anthony; Lampshire, Debra; Hamer, Helen P

    2010-02-01

    This paper describes a service user role in the mental health component of an undergraduate nursing programme in New Zealand. The paper provides a background to mental health nursing education in New Zealand and discusses the implications of recent reforms in the mental health sector. The undergraduate nursing programme at the University of Auckland has a strong commitment to service user involvement. The programme aims to educate nurses to be responsive and skillful in meeting the mental health needs of service users in all areas of the health sector and to present mental health nursing as an attractive option for nurses upon graduation. We outline the mental health component of the programme, with an emphasis on the development of the service user role. In the second half of the paper, we present a summary of responses to a student satisfaction questionnaire. The responses indicate that the service user role is an important element of the programme and is well received by a substantial proportion of students. We consider the implications for nursing education and for recruitment into mental health nursing. Finally, we discuss some issues related to service user involvement in the development of new models of mental health service delivery.

  18. Integrating mental health services: the Finnish experience

    Directory of Open Access Journals (Sweden)

    Ville Lehtinen

    2001-06-01

    Full Text Available The aim of this paper is to give a short description of the most important developments of mental health services in Finland during the 1990s, examine their influences on the organisation and provision of services, and describe shortly some national efforts to handle the new situation. The Finnish mental health service system experienced profound changes in the beginning of the 1990s. These included the integration of mental health services, being earlier under own separate administration, with other specialised health services, decentralisation of the financing of health services, and de-institutionalisation of the services. The same time Finland underwent the deepest economic recession in Western Europe, which resulted in cut-offs especially in the mental health budgets. Conducting extensive national research and development programmes in the field of mental health has been one typically Finnish way of supporting the mental health service development. The first of these national programmes was the Schizophrenia Project 1981–97, whose main aims were to decrease the incidence of new long-term patients and the prevalence of old long-stay patients by developing an integrated treatment model. The Suicide Prevention Project 1986–96 aimed at raising awareness of this special problem and decreasing by 20% the proportionally high suicide rate in Finland. The National Depression Programme 1994–98 focused at this clearly increasing public health concern by several research and development project targeted both to the general population and specifically to children, primary care and specialised services. The latest, still on-going Meaningful Life Programme 1998–2003 which main aim is, by multi-sectoral co-operation, to improve the quality of life for people suffering from or living with the threat of mental disorders. Furthermore, the government launched in 1999 a new Goal and Action Programme for Social Welfare and Health Care 2000–2003, in

  19. Rating the Efficiency of Regional Health Systems and Compulsory Health Insurance

    Directory of Open Access Journals (Sweden)

    Tatyana Nikolayevna Russkikh

    2015-12-01

    Full Text Available In the face of increasing of the regional differentiation of the health systems and compulsory health insurance, the comparative analysis and efficiency assessment of their performance in the context of the subjects of the Russian Federation becomes particularly relevant. Therefore, the research is focused on the regional health systems and compulsory health insurance (CHI, and the subject matter of the study is the analysis of the system performance. In the article, the comparative analysis of the authors’ approaches to the formation of efficiency criteria of the performance of regional health systems and CHI, as well as to the development of a typology of the constituent entities of the Russian Federation based on these criteria is conducted. The authors propose a system of indicators to measure the economic, medical and social efficiency of the systems under consideration. Moreover, a set of indicators of economic efficiency forms two groups of indicators. The first group of indicators reflects the financial performance, and the second — the structural efficiency. A methodological approach to the formation of the rating for subjects of the Russian Federation according to the levels of efficiency, based on the procedures of cluster analysis and fuzzy mathematics are developed. A feature of the proposed approach to the construction of a typology of the subjects in terms of efficiency is the introduction of a reference subject with the national average performance indicators system that allows to qualitatively assess the effectiveness of regional health systems and CHI by comparing them with the «reference subject». The results of the empirical research have indicated a high differentiation of the subjects of the Russian Federation in terms of economic efficiency, have allowed to identify the subjects-outsiders. The theoretical and practical results can be used for the rational choice of priorities of the state policy in the field of the

  20. Under the Gun: Nationalist Military Service and Society in Wartime Sichuan, 1938-1945

    OpenAIRE

    Landdeck, Kevin Paul

    2011-01-01

    This dissertation examines the state-making and citizenship projects embedded within the Nationalist (KMT) government's mobilization of men to serve in the army during World War Two. My project views wartime conscription as a fundamental break with earlier modes of recruitment, the gentry-led militarization of the late-Qing dynasty and the mercenary armies of the warlords. Nationalist authorities saw compulsory service as a tool for creating genuine citizen-soldiers and yet, while conscript...

  1. SSDL Argentina: Dosimetric intercomparison programme for cobalt 60 therapy units

    Energy Technology Data Exchange (ETDEWEB)

    Saravi, M; Papadopulos, S; Mugliaroli, H [Comision Nacional de Energia Atomica, Buenos Aires (Argentina)

    1996-08-01

    Thermoluminescence dosimeters (TLD) are widely used to verify absorbed dose delivered from radiation therapy beams. The Secondary Standard Dosimetry Laboratory (SSDL) of Argentina uses TLD for its mailed dose intercomparison programme for cobalt 60 radiation therapy units. Results obtained since 1978 as well as causes of dose discrepancies greater than 5% are analyzed. Results of the external quality control performed by the IAEA for this programme indicate that the dose evaluated by the SSDL TLD service for the participating centers is about 1% lower than that evaluated by the IAEA TLD service. This deviation is accepted taking on account that a {+-} 2% dose uncertainty for TLD dosimetry is reasonable. (author). 5 refs, 5 figs, 2 tabs.

  2. The perceived benefits of the Maties Injury Programme among ...

    African Journals Online (AJOL)

    Programme (MIP) at Stellenbosch University perceived the service, and to highlight areas they ... the questionnaire patients reported high levels of satisfaction with the MIP. .... a mean score value corresponding with a positive response.

  3. The Happy Teen programme: a holistic outpatient clinic-based approach to prepare HIV-infected youth for the transition from paediatric to adult medical care services in Thailand.

    Science.gov (United States)

    Lolekha, Rangsima; Boon-Yasidhi, Vitharon; Na-Nakorn, Yossawadee; Manaboriboon, Boonying; Vandepitte, Warunee Punpanich; Martin, Michael; Tarugsa, Jariya; Nuchanard, Wipada; Leowsrisook, Pimsiri; Lapphra, Ketwadee; Suntarattiwong, Piyarat; Thaineua, Vorapathu; Chokephaibulkit, Kulkanya

    2017-05-16

    We developed an 18-month Happy Teen 2 (HT2) programme comprised of a one-day workshop, two half-day sessions, and three individual sessions to prepare HIV-infected youth for the transition from paediatric to adult HIV care services. We describe the programme and evaluate the change in youth's knowledge scores. We implemented the HT2 programme among HIV-infected Thai youth aged 14-22 years who were aware of their HIV status and receiving care at two hospitals in Bangkok (Siriraj Hospital, Queen Sirikit National Institute of Child Health [QSNICH]). Staff interviewed youth using a standardized questionnaire to assess HIV and health-related knowledge at baseline and at 12 and 18 months while they participated in the programme. We examined factors associated with a composite knowledge score ≥95% at month 18 using logistic regression. During March 2014-July 2016, 192 of 245 (78%) eligible youth were interviewed at baseline. Of these, 161 (84%) returned for interviews at 12 and 18 months. Among the 161 youth, the median age was 17 years, 74 (46%) were female, and 99% were receiving antiretroviral treatment. The median composite score was 45% at baseline and increased to 82% at 12 months and 95% at 18 months ( P  95% was associated with education level >high school (aOR: 2.15, 95%CI, 1.03-4.48) and receipt care at QSNICH (aOR: 2.43, 95%CI, 1.18-4.98). Youth whose mother and father had died were less likely to have score ≥95% (aOR: 0.22, 95%CI, 0.07-0.67) than those with living parents. Knowledge useful for a successful transition from paediatric to adult HIV care increased among youth participating in the HT2 programme. Youth follow-up will continue to assess the impact of improved knowledge on outcomes following the transition to adult care services.

  4. Social Marketing Analysis of Attitude Toward Compulsory Earthquake Insurance in Turkey(Türkiye’de Zorunlu Deprem Sigortasına Yönelik Tutumun Sosyal Pazarlama Kapsamında Analizi

    Directory of Open Access Journals (Sweden)

    Gülnil AYDIN

    2016-08-01

    Full Text Available This study aims to explore the reasons behind the low-level purchases of compulsory earthquake insurance policies in Turkey. Based on online surveys with 667 people the findings of the study point out that there is a major communications gap to be filled in by the authorities and the insurance companies. The findings of the study also show that in addition to the demographic variables the personality characteristics of people also influence the attitude towards and the purchasing of compulsory earthquake insurance policies

  5. Analysis of Measures for Attention to Diversity in Compulsory Secondary Education: The Case of the Region of Murcia, Spain

    Science.gov (United States)

    Arnaiz, Pilar; Martinez, Rogelio; de Haro, Remedios; Escarbajal, Andres

    2013-01-01

    In this paper, we present an analysis of the implementation of measures of attention to diversity for students with special educational support needs studying Compulsory Secondary Education (12-16 years) in the Region of Murcia, Spain. Our aim is to learn about the organisational and curricular structures implemented in five secondary education…

  6. Management and Communication programme

    CERN Multimedia

    Nathalie Dumeaux

    2005-01-01

    We are pleased to announce the launch of three new courses in the Management and Communication programme: 1.     Managing Time (Open to all Staff Members) The objectives are: To enhance your personal effectiveness through better organisation skills To acquire ways of making the most of your time through improved work habits To reduce stress For the description of this course, please see:  http://humanresources.web.cern.ch/humanresources/external/training/MANCO/P9798/S8E_e.asp 2.     Service Orientation (Open to all Staff Members working in a service-related function) The objectives are: To understand the key elements in an effective client/service provider relationship To develop a client focused approach to providing services For the description of this course, please see:  http://humanresources.web.cern.ch/humanresources/external/training/MANCO/P9798/serv_e.asp 3.   Introduction to Leadership (Open to Staff in Career Paths E & above, including newly appointed supervisors and Secti...

  7. Management and Communication programme

    CERN Multimedia

    Nathalie Dumeaux

    2005-01-01

    We are pleased to announce the launch of three new courses in the Management and Communication programme: 1.     Managing Time (Open to all Staff Members) The objectives are: To enhance your personal effectiveness through better organisation skills To acquire ways of making the most of your time through improved work habits To reduce stress For the description of this course, please see:  http://humanresources.web.cern.ch/humanresources/external/training/MANCO/P9798/S8E_e.asp 2.     Service Orientation (Open to all Staff Members working in a service-related function) The objectives are: To understand the key elements in an effective client/service provider relationship To develop a client focused approach to providing services For the description of this course, please see:  http://humanresources.web.cern.ch/humanresources/external/training/MANCO/P9798/serv_e.asp 3.   Introduction to Leadership (Open to Staff in Career Paths E & above, including newly appointed supervisors and Sect...

  8. The Agency's Technical Co-operation programme with Guatemala, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $3 million of Agency support received, Guatemala ranks 46th among all recipients of technical assistance in the period 1958 - 1991. Almost three quarters of the assistance during the past ten years has been provided in the form of equipment (72%), followed by training (15%) and expert services (13%). Seventy-eight per cent of the resources were provided by the Technical Assistance and Co-operation Fund, the rest was made available through extrabudgetary contributions (21%) and assistance in kind (1%). With regard to project disbursement by sector, the largest areas have been nuclear physics and chemistry (37%), agriculture (28%), nuclear medicine (16%) and hydrology (8%). The remaining 11% were shared by general atomic energy development, nuclear raw materials, nuclear engineering and technology, and nuclear safety

  9. The Agency's Technical Co-operation programme with Uruguay, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $4.2 million of Agency support received, Uruguay ranks 37th among all recipients of technical assistance in the period 1958 - 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (67%), followed by expert services (19%) and training (14%). Seventy-three per cent of the resources were provided through the Technical Assistance and Co-operation Fund, while 24% were made available through extrabudgetary contributions. The remaining 3% were provided through assistance in kind, with only an insignificant contribution by UNDP. With regard to project disbursement by sector, the largest areas have been nuclear medicine (35%), agriculture (23%), general atomic energy development (17%), followed by nuclear physics and chemistry (11%) and industry and hydrology (7%)

  10. The Agency's Technical Co-operation programme with Kenya, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With almost $3.9 million of Agency support received, Kenya ranks 39th among all recipients of technical assistance during the period 1958-1991. Almost half of the assistance during the past ten years has been provided in the form of the equipment (44%), followed by training (33%) and expert services (23%). Two-thirds of the funds available were provided by the Technical Assistance and Co-operation Fund (66%), while extra-budgetary contributions accounted for 18%, in-kind contributions for 14%, and UNDP for 2% of the resources. With regard to project disbursements during the past ten years, by sector, the four major areas have been general atomic energy development (30%), agriculture (22%), nuclear medicine and nuclear safety (13% each)

  11. The Agency's Technical Co-operation programme with Mali, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $2.7 million of Agency support received, Mali ranks 51st among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (58%), followed by expert services (27%) and training (15%). With a share of 93%, the Technical Assistance and Co-operation Fund has provided the best part of the resources, while only very small shares were made available through extrabudgetary contributions and assistance in kind (5% and 2%, respectively). With regard to project disbursements during the past ten years, by sector, the four major areas have been hydrology (31%), nuclear medicine (24%), agriculture (21%) and nuclear raw materials (16%)

  12. The Agency's Technical Co-operation programme with Zambia, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $5.5 million of Agency support received, Zambia ranks 33rd among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (61%), followed by expert services (25%) and training (14%). Almost all of the resources made available came from the Technical Assistance and Co-operation Fund (93%), with only very small shares provided through extrabudgetary contributions (4%) and assistance in kind (3%). With regard to project disbursements during the past ten years, by sector, the largest areas have been agriculture (33%) and general atomic energy development (23%), followed by industry and hydrology (19%), nuclear raw materials (13%) and nuclear safety (6%)

  13. The Agency's Technical Co-operation programme with Senegal, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $2.2 million of Agency support received, Senegal ranks 56th among all recipients of technical assistance in the period 1958 - 1991. More than one-third of the assistance during the past ten years has been provided in the form of equipment (67%), followed by expert services (21%) and training (12%). Eighty per cent of the resources were provided by the Technical Assistance and Co-operation Fund, while 16% were made available by UNDP and about 2% each through extrabudgetary contributions and assistance in kind. With regard to project disbursement by sector, by far the largest area has been agriculture (43%). Smaller shares have gone to general atomic energy development (15%), nuclear physics and chemistry (13%), nuclear medicine and hydrology (11% each), and nuclear safety (7%)

  14. Moving beyond Traditional Measures of Entrepreneurial Intentions in a Study among Life-Sciences Students in the Netherlands

    Science.gov (United States)

    Lans, Thomas; Gulikers, Judith; Batterink, Maarten

    2010-01-01

    The rationale behind this study is that entrepreneurship education programmes (EEP) in post-compulsory education mainly address entrepreneurial intentions, instead of actual entrepreneurial behaviour, and that students, compared to practicing entrepreneurs, might have a wide range of entrepreneurial intentions when entering such a programme. The…

  15. Educating educators about alcoholism and drug addiction: the role of employee assistance programmes.

    Science.gov (United States)

    Van den Bergh, N

    1990-01-01

    The historical development of employee assistance programmes (EAPs) from occupational alcoholism programmes is outlined. Services for the three prevention levels of a 'broad brush' programme are described. The 'at-risk' characteristics of academia in potentiating alcoholism and addiction are noted, including several intrinsic characteristics of academics which could predispose to substance abuse. Ways in which EAPs enhance organizational goals are noted and several crucial steps in designing an academic EAP are suggested.

  16. The Agency's Technical Co-operation programme with Sierra Leone, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $1.1 million of Agency support received, Sierra Leone ranks 70th among all recipients of technical assistance in the period 1958 through 1991. Almost equal shares of the assistance during the past ten years have been provided in the form of equipment (40%) and expert services (37%), while the share of the training component was 23%. The best part of the resources was provided by the Technical Assistance and Co-operation Fund (96%), the remaining 4% was made available through assistance in kind. During the past ten years, project activities - and disbursements - have concentrated exclusively on three major areas: nuclear medicine (52%), general atomic energy development (25%) and agriculture (23%)

  17. Health for all children: a programme for health promotion.

    Science.gov (United States)

    Elliman, D A

    'The health of its children is the wealth of a nation.' For this reason a lot of time and energy is expended on preventive child health services, but with little evidence of effectiveness and great variation in programmes. Recently much has been done to rectify this. At the forefront of this work has been the multidisciplinary committee chaired by Professor Hall. Its third report, with its concentration on health promotion rather than 'defect detection', will form the basis for all future programmes.

  18. Effects of a peer support programme for youth social services employees experiencing potentially traumatic events: a protocol for a prospective cohort study.

    Science.gov (United States)

    Guay, Stephane; Tremblay, Nicole; Goncalves, Jane; Bilodeau, Henriette; Geoffrion, Steve

    2017-06-24

    The use of peer support programmes to help workers experiencing potentially traumatic events (PTE) has increased in high-risk organisations in the last decades. However, the scientific evidence of its effectiveness is still very limited. This paper aims to describe the protocol of a prospective cohort study that assesses the efficacy of a peer support programme among youth social services employees exposed to a PTE at work on psychological well-being, work functioning and needs of support. This is a mixed-methods prospective study that will examine workers' evolution four times over a 12-month period in Canada. This study involves: (1) quantitative data obtained through self-administrated questionnaires among 222 workers, and (2) qualitative in-depth interviews with a subsample of 45 workers. This study will compare findings from a cohort who received the support of a peer following a PTE (peer support-experimental protocol) as part of the experimental protocol of the Montreal Youth Social Services-University Institute (MYSS-UI), the second group of workers did not ask for the peer support (no peer support-experimental protocol) but was part of MYSS-UI, and the third group received standard organisational support from the Monteregie Youth Social Services (MYSS) (standard organisational protocol). The protocol and informed consent form complied with the ethics guidelines of the MYSS-UI. The Research Ethics Board of MYSS-UI and MYSS reviewed and accepted the protocol as required. The results of the study will be published in peer-reviewed journals, presented at research and general public conferences, disseminated via a public report for the institute that funded the project and for all workers. Results of this study will influence decision making regarding intervention policies following PTE and peer support interventions may be expanded throughout the youth social services in Canada and worldwide. © Article author(s) (or their employer(s) unless otherwise stated

  19. A special evaluation: The ARCAL programme

    International Nuclear Information System (INIS)

    1992-01-01

    The Regional Co-operative Arrangements for the Promotion of Nuclear Science and Technology in Latin America, ARCAL, came into being in 1983. At a meeting held in Vienna in September 1984, ten Latin American countries agreed to participate in the programme, the Guidelines setting up the structure of the programme were approved and nine areas of development were identified to initiate project activities. The programme, which is now in its second phase and in its ninth year of implementation, has 17 Member States and includes fifteen projects. Total disbursements under the ARCAL programme during the period 1983 - 1991 amounted to $8.5 million, including $5.4 million from the Technical Assistance and Co-operation Fund (TACF), $2.2 million from extrabudgetary sources, and some $0.9 million in the form of in-kind contributions. As of September 1992, equipment totaling $3.5 million, 385 man-months of expert services, and 108 fellowships for approximately 150 man-months of training had been provided to ARCAL Member States within the context of fifteen ARCAL projects. In addition, 1844 Latin Americans were trained in 194 ARCAL training courses. The evaluation concluded that, as a result of the ARCAL programme, there is now better knowledge in participating countries about nuclear techniques and technology, as well as greater awareness at most levels of the importance of radiological safety and of the need to implement radiation protection measures, both a the national and at the regional level. The programme has contributed to developing and/or improving capabilities in the region in various applications of nuclear techniques through training activities. The programme has further allowed the establishment of regional collaborative links, particularly between countries with similar interests, in important fields of application, such as agriculture and nuclear medicine. Figs and tabs

  20. The Care Manager's Dilemma: Balancing Human Rights with Risk Management under the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003

    Science.gov (United States)

    Prebble, Kate; Diesfeld, Kate; Frey, Rosemary; Sutton, Daniel; Honey, Michelle; Vickery, Russell; McKenna, Brian

    2013-01-01

    In New Zealand, the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003 provides diversion for persons with an intellectual disability who have been charged with, or convicted of, a criminal offence. This unique Act moves the responsibility for such "care recipients" from the criminal justice system to a disability…

  1. Healthcare Programmes for Truck Drivers in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Lalla-Edward, Samanta Tresha; Fobosi, Siyabulela Christopher; Hankins, Catherine; Case, Kelsey; Venter, W D Francois; Gomez, Gabriela

    2016-01-01

    Truck drivers have unique health needs, and by virtue of their continuous travel, experience difficulty in accessing healthcare. Currently, planning for effective care is hindered by lack of knowledge about their health needs and about the impact of on-going programmes on this population's health outcomes. We reviewed healthcare programmes implemented for sub-Saharan African truck drivers, assessed the evaluation methods, and examined impact on health outcomes. We searched scientific and institutional databases, and online search engines to include all publications describing a healthcare programme in sub-Saharan Africa where the main clients were truck drivers. We consulted experts and organisations working with mobile populations to identify unpublished reports. Forest plots of impact and outcome indicators with unadjusted risk ratios and 95% confidence intervals were created to map the impact of these programmes. We performed a subgroup analysis by type of indicator using a random-effects model to assess between-study heterogeneity. We conducted a sensitivity analysis to examine both the summary effect estimate chosen (risk difference vs. risk ratio) and model to summarise results (fixed vs. random effects). Thirty-seven publications describing 22 healthcare programmes across 30 countries were included from 5,599 unique records. All programmes had an HIV-prevention focus with only three expanding their services to cover conditions other primary healthcare services. Twelve programmes were evaluated and most evaluations assessed changes in input, output, and outcome indicators. Absence of comparison groups, preventing attribution of the effect observed to the programme and lack of biologically confirmed outcomes were the main limitations. Four programmes estimated a quantitative change in HIV prevalence or reported STI incidence, with mixed results, and one provided anecdotal evidence of changes in AIDS-related mortality and social norms. Most programmes showed

  2. A partnership model of early intervention in psychosis programme--a Canadian experience.

    Science.gov (United States)

    Oyewumi, Lamidi Kola; Savage, Troy

    2009-08-01

    To describe how a new partnership model of early intervention in psychosis, early intervention in psychosis (EIP) programme delivery in Canada attracted the interest of the community and acquired government funding. The process by which a few individuals used a conceptual framework of integrated, collaborative, flexible and recovery focused principles to engage community partners and attract government funding is described. The establishment of a small EIP programme and its expansion to a regional programme serving an area of 20,000 square kilometers and a population of approximately 500,000 people were achieved. A programme specific logic prototype was developed. A synergy of public, private and academic services emerged with an infrastructure for ongoing cohesiveness and productivity. Annual clinic visits increased from 641 in 2002 to 1904 in 2007 and annual new patients enrollments grew from 46 to 128 within the same period. Staffing grew from an interdisciplinary staff of 1.5 full-time equivalent (FTE) to the current 10.0 FTE. A carefully orchestrated programme organization that is inclusive rather than exclusive can produce a balance of evidence-based best practices in client focused service, community mental health integration and academic productivity. © 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Asia Pty Ltd.

  3. Determinants of successful implementation of population-based cancer screening programmes

    DEFF Research Database (Denmark)

    Lynge, Elsebeth; Törnberg, Sven; von Karsa, Lawrence

    2012-01-01

    consider when planning, implementing and running population based cancer screening programmes. The list is general and is applicable to breast, cervical and colorectal cancer screening. It is based on evidence presented in the three European Union guidelines on quality assurance in cancer screening...... and diagnosis, supplemented with other literature and expert experience presented at a European Science Advisory Network for Health workshop. The implementation of a cancer screening programme should be divided into the following seven phases: (1) before planning, (2) planning, (3) feasibility testing, (4......) piloting or trial implementation, (5) scaling up from pilot to service, (6) running of full-scale programme, and (7) sustainability. For each phase, a substantial number of specified conditions have to be met. Successful implementation of a cancer screening programme requires societal acceptance and local...

  4. Planning and developing services for diabetic retinopathy in Sub-Saharan Africa.

    Science.gov (United States)

    Poore, Sophie; Foster, Allen; Zondervan, Marcia; Blanchet, Karl

    2015-01-01

    Over the past few decades diabetes has emerged as an important non-communicable disease in Sub-Saharan Africa (SSA). Sight loss from Diabetic Retinopathy (DR) can be prevented with screening and early treatment. The objective of this paper is to outline the required actions and considerations in the planning and development of DR screening services. A multiple-case study approach was used to analyse five DR screening services in Botswana, Ghana, Tanzania and Zambia. Cases included: two regional screening programmes, two hospital-based screening services and one nationwide screening service. Data was collected using qualitative methodologies including: document analysis, in-depth interviews and observation. The World Health Organization (WHO) Health Systems Framework was adopted as the conceptual framework for analysis. Planning for a sustainable and integrated DR screening programme demanded a health systems approach. Collaboration with representatives from a variety of ministerial departments and professional bodies was required. Evolution of DR screening services may occur in a variety of ways including: increasing geographical coverage, integration into the general healthcare system, and stepwise progression from a passive, opportunistic service to one that systematically and proactively seeks to prevent DR. Lessons learned from the implementation of cervical cancer prevention programmes in resource-poor settings may assist the development of DR programmes in similar settings. To promote good planning of DR screening services and ensure limited resources are used effectively, there is a need to learn from screening programmes in other medical specialities and a need to share experiences between newly-developing DR programmes in resource-poor countries. The WHO Health Systems Framework presents an invaluable tool to ensure a systematic approach to planning DR screening services.

  5. An outline of IAEA programme for 1963

    International Nuclear Information System (INIS)

    1962-01-01

    Some of the important details of the programme are given. From the financial point of view the Agency's work is divided into two categories. The first comprises activities which fall under the Regular Budget and are financed out of assessed contributions by Member States, while the second consists of activities under the Operational Budget, financed out of voluntary contributions by Member States to the Agency's General Fund and other resources, such as funds made available under the United Nations Expanded Programme of Technical Assistance (EPTA) and gifts of equipment, free services of experts and free training facilities. Chief among the latter activities are technical assistance and training

  6. An outline of IAEA programme for 1963

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1962-10-15

    Some of the important details of the programme are given. From the financial point of view the Agency's work is divided into two categories. The first comprises activities which fall under the Regular Budget and are financed out of assessed contributions by Member States, while the second consists of activities under the Operational Budget, financed out of voluntary contributions by Member States to the Agency's General Fund and other resources, such as funds made available under the United Nations Expanded Programme of Technical Assistance (EPTA) and gifts of equipment, free services of experts and free training facilities. Chief among the latter activities are technical assistance and training

  7. Programme of Action for Cancer Therapy: Maximizing Investments in Radiation Medicine

    International Nuclear Information System (INIS)

    Enwerem-Bromson, N.; Nitzsche-Bell, A.

    2015-01-01

    In the presentation, Ms Nelly Enwerem-Bromson will present her work as Director of the Programme of Action for Cancer Therapy (PACT) and the crucial role of nuclear techniques in cancer control. She will review the key drivers for increasing demand for technical support on cancer control from low and middle income (LMI) Member States to the UN system in general, and the IAEA in particular. She will further elaborate on IAEA’s Programme of Action for Cancer Therapy (PACT) main products and services and how they are having a positive impact on assessing national capacities and needs, supporting Member States in identifying key priority interventions and translating them into action through the IAEA Technical Cooperation Programme. Ms Enwerem-Bromson will also address innovative approaches on distance learning and international collaboration to increase the quantity and quality of oncology related human resources as well as in the establishment of sustainable radiation medicines services in LMI countries. (author)

  8. Application of non-destructive testing and in-service inspections to research reactors and preparation of ISI programme and manual for WWR-C research reactors

    International Nuclear Information System (INIS)

    Khattab, M.

    1996-01-01

    The present report gives a review on the results of application of non-destructive testing and in-service inspections to WWR-C reactors in different countries. The major problems related to reactor safety and the procedure of inspection techniques are investigated to collect the experience gained from this type of reactors. Exchangeable experience in solving common problems in similar reactors play an important role in the effectiveness of their rehabilitation programmes. 9 figs., 4 tabs

  9. Use of dihydro-isobenzofuran in combination with serotonin reuptake inhibitors for CNS disease e.g. depression, anxiety, bipolar disorder, obsessive compulsory disorder

    DEFF Research Database (Denmark)

    2013-01-01

    NOVELTY - For treatment of a CNS disease in a patient, dihydro-isobenzofuran compound (I) in combination with serotonin reuptake inhibitor, is used. USE - For treatment of CNS disease (claimed) including depression, anxiety, bipolar disorder, obsessive compulsory disorder, post traumatic stress d...

  10. Evaluating deceased organ donation: a programme theory approach.

    Science.gov (United States)

    Manzano, Ana; Pawson, Ray

    2014-01-01

    Organ donation and transplantation services represent a microcosm of modern healthcare organisations. They are complex adaptive systems. They face perpetual problems of matching supply and demand. They operate under fierce time and resource constraints. And yet they have received relatively little attention from a systems perspective. The purpose of this paper is to consider some of the fundamental issues in evaluating, improving and policy reform in such complex systems. The paper advocates an approach based on programme theory evaluation. The paper explains how the death to donation to transplantation process depends on the accumulation of series of embedded, institutional sub-processes. Evaluators need to be concerned with this whole system rather than with its discrete parts or sectors. Policy makers may expect disappointment if they seek to improve donation rates by applying nudges or administrative reforms at a single point in the implementation chain. These services represent concentrated, perfect storms of complexity and the paper offers guidance to practitioners with bio-medical backgrounds on how such services might be evaluated and improved. For the methodological audience the paper caters for the burgeoning interest in programme theory evaluation while illustrating the design phase of this research strategy.

  11. The Agency's Technical Co-operation programme with Mexico, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With almost $7.7 million of Agency support received, Mexico ranks 21st among all recipients of technical assistance during the period 1958 through 1991. The largest share of the assistance received during the past ten years has been in the form of expert services (36%), followed by equipment and training (27% each) and sub-contracts (10%). Almost two-thirds of the funds available were provided by the Technical Assistance and Co-operation Fund (65%), the rest was made available through extrabudgetary contributions (21%) and assistance in kind (14%). With regard to project disbursements during the past ten years, by sector the five major areas have been nuclear safety (34%), nuclear engineering and technology (27%), agriculture (17%), nuclear physics and chemistry (9%), and nuclear techniques in industry and hydrology (9%)

  12. The Agency's Technical Co-operation programme with Zaire, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With $3.9 million of Agency support received, Zaire ranks 38th among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (60%), followed by training (24%) and expert services (16%). With a share of 76%, the Technical Assistance and Co-operation Fund has provided more than three quarters of the total resources available, while only small shares were made available through UNDP (11%), extrabudgetary contributions (4%) and assistance in kind (9%). With regard to project disbursements during the past ten years, by sector, the largest area has been general atomic energy development (26%), followed by agriculture (18%), nuclear safety (18%), nuclear techniques in industry and hydrology (13%), and nuclear physics and chemistry (11%)

  13. The Agency's Technical Co-operation programme with Nigeria, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $9.3 million of Agency support received, Nigeria ranks 14th among all recipients of technical assistance in the period 1958 through 1991. During the past ten years, 44% of this assistance has been provided in the form of equipment, followed by training (27%), expert services (26%) and sub-contracts (3%). With 45% and 44%, respectively, the Technical Assistance and Co-operation Fund and extrabudgetary contributions hold almost equal shares in the total resources made available, while in-kind assistance accounts for 9% and UNDP for 2% of the resources. With regard to project disbursement during the past ten years, by sector, by far the largest area has been agriculture (70%), with significantly smaller shares going to nuclear physics and chemistry (11%), nuclear medicine (8%) and nuclear safety (7%)

  14. Investigating the efficacy of a whole team, psychologically informed, acute mental health service approach.

    Science.gov (United States)

    Araci, David; Clarke, Isabel

    2017-08-01

    Service user demand and service changes, from hospital based, to community and hospital mix, within acute adult mental health services, focus the need for psychologically informed, holistic, approaches. (1) Describe and report feasibility of a psychologically led Intensive Support Programme (ISP) to meet this need. (2) Present results of a pilot evaluation of this programme. ISP was implemented in four acute mental health services of the Southern Health NHS Trust, available to both inpatient and outpatient acute services. Evaluation of the service one month after data collection, illustrates operation and level of uptake across different professional roles. The programme was evaluated by assessing psychological distress (CORE-10) and confidence in self-management (Mental Health Confidence Scale) of participating service users before and after intervention. The service evaluation demonstrated extensive roll out of this programme across acute services of an extensive NHS Trust. Repeated measure t-tests demonstrated significant decrease in distress (p mental health (p mental health service and results in improvement in self management skills and facilitation of recovery.

  15. Post Graduate Programme in Dietetics & Food Service Management (MSCDFSM) Programme of IGNOU: Access through the Lucknow Regional Centre

    Science.gov (United States)

    Dorothy, J. S.; Kumar, Ashwini

    2014-01-01

    Indira Gandhi National Open University (IGNOU) which was established initially as a Single mode Distance Teaching Institution (DTI) in the year 1985 opened its campus to face-to-face education in the year 2008 and thus now is a Dual mode Distance Teaching Institution (DTI). The Post Graduate Programme (Master of Science) in Dietetics and Food…

  16. Service worker dose reduction: whose job is it?

    International Nuclear Information System (INIS)

    Eaton, J.F.

    1993-01-01

    Nuclear utilities around the world are scrambling to change radiation protection programmes. In the US there are two reasons: Revised government regulatory requirements lowering radiation dose go into effect in January 1994 with an option for implementation in January 1993. The International Commission on Radiation Protection has recommended not allowing any person to receive greater than 10rem over a five year period. These changes create big challenges not only for the utilities but also for the service companies who receive the bulk of outage radiation exposure. Service companies should anticipate that customer administrative dose limits will be lowered significantly with a goal of 2rem/y or less. Improved worker efficiency, improved equipment reliability, better housekeeping and improved outage planning and management come from more effective field service training and ''as low as reasonably achievable'' ALARA programmes. Service companies should seriously consider expanding and improving these programmes. (Author)

  17. The WHO AFRO external quality assessment programme (EQAP): Linking laboratory networks through EQA programmes.

    Science.gov (United States)

    Boeras, Debrah I; Peeling, Rosanna W; Onyebujoh, Philip; Yahaya, Ali A; Gumede-Moeletsi, Hieronyma N; Ndihokubwayo, Jean B

    2016-01-01

    External Quality Assessment (EQA) surveys performed by the World Health Organization Regional Office for Africa (WHO AFRO) revealed the need for the strengthening of public health microbiology laboratories, particularly for testing of epidemic-prone diseases in the African Region. These surveys revealed common issues such as supply chain management, skilled personnel, logistical support and overall lack of quality standards. For sustainable improvements to health systems as well as global health security, deficiencies identified need to be actively corrected through robust quality assurance programmes and implementation of laboratory quality management systems. Given all the pathogens of public health importance, an external quality assessment programme with a focus on vaccine-preventable diseases and emerging and re-emerging dangerous pathogens is important, and should not be stand-alone, but integrated within laboratory networks as seen in polio, measles, yellow fever and rubella. In 2015, WHO AFRO collaborated with the US Centers for Disease Control and Prevention, the London School of Hygiene & Tropical Medicine and partners in a series of consultations with countries and national and regional EQA providers for the development of quality assurance models to support HIV point-of-care testing and monitoring. These consultations revealed similar challenges as seen in the WHO AFRO surveys. WHO AFRO brought forth its experience in implementing quality standards for health programmes, and also opened discussions on how lessons learned through such established programmes can be utilised to supporting and strengthening the introduction of early infant diagnosis of HIV and viral load point-of-care testing. An optimised external quality assessment programme will impact the ability of countries to meet core capacities, providing improved quality management systems, improving the confidence of diagnostic network services in Africa, and including capacities to detect events

  18. The Agency's Technical Co-operation programme with Cote d'Ivoire, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $1.7 million of Agency support received, Cote d'Ivoire ranks 60th among all recipients of technical assistance in the period 1958 through 1991. Over half of the assistance received during the past ten years has been in the form of equipment (59%), complemented by expert services (26%) and training (15%). The best part of the resources was provided by the Technical Assistance and Co-operation Fund (91%), the remainder was made available through extrabudgetary contributions (7%) and through assistance in kind (2%). During the past ten years, project activities - and disbursements - have concentrated exclusively on three major areas: agriculture (59%), general atomic energy development (30%) and nuclear safety (11%)

  19. THE USAGE OF CLOUD SERVICES IN THE PROCESS OF PROFESSIONAL TRAINING OF PROGRAMMERS AT HIGHER EDUCATIONAL INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Spirin O.

    2017-12-01

    Full Text Available In the article the state of the art and the main tendencies of cloud computing development are analyzed. The importance of cloud technologies application in education is grounded. The directions of their appliance are examined in higher education, in particular as for the creation of the cloud-oriented learning scientific environment at educational institutions. The advantages of transfer of IT-infrastructure of higher educational institutions into the cloud form are shown (the economy of funds for purchase of software and renovation of computer database; the reduction of the need for specially equipped premises; the creation of an open educational environment. The main directions of the research study of cloud technologies application in the process of professional training of programmers are characterized, among them there are: 1 formation of skills of the cloud services use for the professional tasks solving; 2 formation of skills of the development of cloud applications, deployment of cloud infrastructure, cloud applications and data bases security support. The description of cloud services that can be used in the process of programming learning and usage of training projects (Ideone, Codenvy, DbDesigner are provided. The brief description of the possibilities of the Amazon platform usage for formation of cloud software development skills is provided.

  20. Drama and Theatre in a Nordic Curriculum Perspective--A Challenged Arts Subject Used as a Learning Medium in Compulsory Education

    Science.gov (United States)

    Österlind, Eva; Østern, Anna-Lena; Thorkelsdóttir, Rannveig Björk

    2016-01-01

    The aim of this article is to present a Nordic curriculum perspective on drama and theatre in education ranging from preschool to upper secondary education and cultural schools. Underlined in the Nordic welfare model is an equity, inclusive and democracy perspective, which guarantees free access to compulsory education and to upper secondary…

  1. The central role of national programme management for the achievement of malaria elimination: a cross case-study analysis of nine malaria programmes.

    Science.gov (United States)

    Smith Gueye, Cara; Newby, Gretchen; Tulloch, Jim; Slutsker, Laurence; Tanner, Marcel; Gosling, Roland D

    2016-09-22

    A malaria eradication goal has been proposed, at the same time as a new global strategy and implementation framework. Countries are considering the strategies and tools that will enable progress towards malaria goals. The eliminating malaria case-study series reports were reviewed to identify successful programme management components using a cross-case study analytic approach. Nine out of ten case-study reports were included in the analysis (Bhutan, Cape Verde, Malaysia, Mauritius, Namibia, Philippines, Sri Lanka, Turkey, Turkmenistan). A conceptual framework for malaria elimination programme management was developed and data were extracted and synthesized. Findings were reviewed at a consultative workshop, which led to a revision of the framework and further data extraction and synthesis. Success factors of implementation, programme choices and changes, and enabling factors were distilled. Decentralized programmes enhanced engagement in malaria elimination by sub-national units and communities. Integration of the malaria programme into other health services was also common. Decentralization and integration were often challenging due to the skill and experience levels of newly tasked staff. Accountability for programme impact was not clarified for most programmes. Motivation of work force was a key factor in maintaining programme quality but there were few clear, detailed strategies provided. Different incentive schemes targeted various stakeholders. Training and supervision, although not well described, were prioritized by most programmes. Multi-sectoral collaboration helped some programmes share information, build strategies and interventions and achieve a higher quality of implementation. In most cases programme action was spurred by malaria outbreaks or a new elimination goal with strong leadership. Some programmes showed high capacity for flexibility through introduction of new strategies and tools. Several case-studies described methods for monitoring

  2. Non-Destructive Techniques in the Tacis and Phare Nuclear Safety Programmes

    International Nuclear Information System (INIS)

    Bieth, Michel

    2002-01-01

    Decisions regarding the verification of design plant lifetime and potential license renewal periods involve a determination of the component and circuit condition. In Service Inspection of key reactor components becomes a crucial consideration for continued safe plant operation. The determination of the equipment properties by Non Destructive Techniques during periodic intervals is an important aspect of the assessment of fitness-for-service and safe operation of nuclear power plants The Tacis and Phare were established since 1991 by the European Union as support mechanisms through which projects could be identified and addressed satisfactorily. In Nuclear Safety, the countries mainly concerned are Russia, Ukraine, Armenia, and Kazakhstan for the Tacis programme, and Bulgaria, Czech Republic, Hungary, Slovak Republic, Lithuania, Romania and Slovenia for the Phare programme. The Tacis and Phare programs concerning the Nuclear Power Plants consist of: - On Site Assistance and Operational Safety, - Design Safety, - Regulatory Authorities, - Waste management, and are focused on reactor safety issues, contributing to the improvement in the safety of East European reactors and providing technology and safety culture transfer. The main parts of these programmes are related to the On-Site Assistance and to the Design Safety of VVER and RBMK Nuclear power plants where Non Destructive Techniques for In Service Inspection of the primary circuit components are addressed. (authors)

  3. Planning and Developing Services for Diabetic Retinopathy in Sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Sophie Poore

    2015-01-01

    Full Text Available Background Over the past few decades diabetes has emerged as an important non-communicable disease in SubSaharan Africa (SSA. Sight loss from Diabetic Retinopathy (DR can be prevented with screening and early treatment. The objective of this paper is to outline the required actions and considerations in the planning and development of DR screening services. Methods A multiple-case study approach was used to analyse five DR screening services in Botswana, Ghana, Tanzania and Zambia. Cases included: two regional screening programmes, two hospital-based screening services and one nationwide screening service. Data was collected using qualitative methodologies including: document analysis, indepth interviews and observation. The World Health Organization (WHO Health Systems Framework was adopted as the conceptual framework for analysis. Results Planning for a sustainable and integrated DR screening programme demanded a health systems approach. Collaboration with representatives from a variety of ministerial departments and professional bodies was required. Evolution of DR screening services may occur in a variety of ways including: increasing geographical coverage, integration into the general healthcare system, and stepwise progression from a passive, opportunistic service to one that systematically and proactively seeks to prevent DR. Lessons learned from the implementation of cervical cancer prevention programmes in resource-poor settings may assist the development of DR programmes in similar settings. Conclusion To promote good planning of DR screening services and ensure limited resources are used effectively, there is a need to learn from screening programmes in other medical specialities and a need to share experiences between newly-developing DR programmes in resource-poor countries. The WHO Health Systems Framework presents an invaluable tool to ensure a systematic approach to planning DR screening services.

  4. Sustainability of recurrent expenditure on public social welfare programmes: expenditure analysis of the free maternal care programme of the Ghana National Health Insurance Scheme.

    Science.gov (United States)

    Ankrah Odame, Emmanuel; Akweongo, Patricia; Yankah, Ben; Asenso-Boadi, Francis; Agyepong, Irene

    2014-05-01

    Sustainability of public social welfare programmes has long been of concern in development circles. An important aspect of sustainability is the ability to sustain the recurrent financial costs of programmes. A free maternal care programme (FMCP) was launched under the Ghana National Health Insurance Scheme (NHIS) in 2008 with a start-up grant from the British Government. This article examines claims expenditure under the programme and the implications for the financial sustainability of the programme, and the lessons for donor and public financing of social welfare programmes. Records of reimbursement claims for services and medicines by women benefitting from the policy in participating facilities in one sub-metropolis in Ghana were analysed to gain an understanding of the expenditure on this programme at facility level. National level financial inflow and outflow (expenditure) data of the NHIS, related to implementation of this policy for 2008 and 2009, were reviewed to put the facility-based data in the national perspective. A total of US$936 450.94 was spent in 2009 by the scheme on FMCP in the sub-metropolis. The NHIS expenditure on the programme for the entire country in 2009 was US$49.25 million, exceeding the British grant of US$10.00 million given for that year. Subsequently, the programme has been entirely financed by the National Health Insurance Fund. The rapidly increasing, recurrent demands on this fund from the maternal delivery exemption programme-without a commensurate growth on the amounts generated annually-is an increasing threat to the sustainability of the fund. Provision of donor start-up funding for programmes with high recurrent expenditures, under the expectation that government will take over and sustain the programme, must be accompanied by clear long-term analysis and planning as to how government will sustain the programme.

  5. Status and future trends of Analytical Quality Control Services

    International Nuclear Information System (INIS)

    LaBrecque, J.J.; Schelenz, R.; Hardy, E.P.

    1987-07-01

    This report reviews the present Analytical Quality Control Services (AQCS) programme components in the light of the needs of IAEA Member States for analytical reference materials and intercomparisons, provides guidelines for the direction which the programme should take in the future and identifies the type of Analytical Quality Control Services most urgently required by the Member States

  6. Waste management association with compulsory membership ante portas?

    International Nuclear Information System (INIS)

    Heller, W.

    2004-01-01

    In the course of considerations in the early nineties of reforming atomic energy law, the possibilities was analyzed to privatize the final storage of radioactive waste. One key idea incorporated the finding that the government was of limited usefulness when acting as an entrepreneur, while privatization of this duty could solve the problems associated with planning, building, and operating a repository more speedily and, above all, more economically. In the reform of atomic energy law, final storage remained a government function. The Federal Ministry for the Environment, Nature Conservation, and Nuclear Safety (BMU) is now considering ''reforming the regulations on the final storage of radioactive waste.'' One of the basic ideas underlying this concept is to transfer to an association the site selection, installation, and operation of a repository. The federal government then could limit its functions of those of legal supervision. The upshot would be that the former duties of the federal government of exploring and establishing repositories would be transferred to the association, membership of which would be compulsory and which would have the legal form of a public corporation. A structure of this kind raises a number of organizational and legal problems which are discussed in this contribution. (orig.)

  7. Neurology expertise and postgraduate training programmes in the Arab world: a survey.

    Science.gov (United States)

    Benamer, Hani T S

    2010-01-01

    Neurological disorders are increasingly recognised as a major public health problem, especially in the developing world. Having adequate neurology expertise to tackle this issue is essential. A 17-item survey was conducted to gather information about the number, training and location of neurologists and supportive facilities available to them in the 16 middle- and high-income Arab countries. Data about the availability of postgraduate training programmes was collected. Surveys were returned from all targeted countries. The population per neurologist ranges from 35,000 to just over two million, and the most neurologists are based in large cities. Most of the practising neurologists had received extensive training in neurology and/or passed specialty exams. The majority had all or part of their training abroad. Neuro-radiological and neuro-physiological investigations are generally available in most surveyed countries but neuro-genetics and neuro-immunology services are lacking. Neurology training programmes are available in ten Arab countries with a total of 504-524 trainees. The availability of neurologists, supportive services and training programmes varies between Arab countries. Further development of neurology expertise and local training programmes are needed. Copyright 2010 S. Karger AG, Basel.

  8. An NLP-Based Programme for Developing EFL Student-Teachers ...

    African Journals Online (AJOL)

    An NLP-Based Programme for Developing EFL Student-Teachers' Motivational Language. ... teaching of motivational language by using influential hypnotic language patterns should be integrated into EFL pre-service teacher training curricula. Keywords: Motivational language, Neuro-linguistic Programming, Milton Model ...

  9. Research reactor programmes at the IAEA

    International Nuclear Information System (INIS)

    Reijonen, H.

    1978-01-01

    The activities performed according to the Agency programs for research reactors in the fields of information collection and dissemination, meetings organization, publications of the proceedings and execution of technical assistance are discussed in the paper emphasizing the services that are provided for developing countries. It is intended that the programme on research reactors should be flexible and respond to the actual needs of the countries receiving assistance

  10. Evaluation of the population dose to the UK population from the National Health Service breast screening programme

    International Nuclear Information System (INIS)

    Faulkner, K.; Wallis, M. G.; Neilson, F.; Whitaker, C. J.

    2008-01-01

    In the United Kingdom National Health Service Breast Screening Programme (NHSBSP), women aged between 50 and 70 y are invited for mammography every 3 y. Screening histories for each woman, over four screening rounds, were analysed. Data from five screening programmes were used to select 57 425 women into the study. Cases were selected on the basis of being between the ages of 50 and 53 at the start of the NHSBSP (i.e. between 1989 and 1992). Assessment of the outcome for each screening round for each woman involved assigning a simple outcome code. Each of the possible pathways through the four screening rounds was analysed. This comprises of 500 possible pathways. This data enabled the following information to be determined: (i) The number of times a woman attended the screening programme. (ii) The number of women referred for assessment at each screening round. This information may be used to deduce the population dose to this group of women averaged over four screening rounds. Patient doses have been monitored since the programme's inception and are typically 4.5 mGy for two-view screening. It is possible to determine the mean glandular dose received by this cohort of women over four screening rounds by multiplying the number of examinations by the mean glandular dose for a typical woman. Allowance has to be made for the number of projections taken at each screening round. Once a woman has been screened, she may be invited back for further assessment if an abnormality is found on her mammogram. A stereotactic attachment is used to determine where to place the biopsy device. Although the dose received during a normal screening mammogram is well known, the dose for a stereotactic procedure and other assessment procedures is less well known, partly because only a small part of the breast is directly irradiated during stereo-taxis. However, the woman may have multiple exposures during this stage. A prospective survey of doses was completed to deduce the mean

  11. Vocations: The Link between Post-Compulsory Education and the Labour Market. What the Research Says For... Tertiary Education Providers & School Educators

    Science.gov (United States)

    Wheelahan, Leesa; Buchanan, John; Yu, Serena

    2015-01-01

    This summary brings together the relevant key findings for tertiary education providers and school educators from the research program "Vocations: The Link between Post-Compulsory Education and the Labour Market." The program was comprised of three different strands: (1) pathways from VET in Schools, (2) pathways within and between…

  12. PORT (Programme of Recognition and Therapy): the first Polish recognition and treatment programme for patients with an at-risk mental state.

    Science.gov (United States)

    Kotlicka-Antczak, Magdalena; Pawełczyk, Tomasz; Rabe-Jabłońska, Jolanta; Pawełczyk, Agnieszka

    2015-08-01

    To present the activities of the first early intervention centre in Poland and the Programme of Recognition and Therapy (PORT) run by the centre. An overview of the admission process, diagnostic procedures and therapeutic interventions offered to individuals with an at-risk mental state. The PORT programme, developed in 2010, included 81 individuals, aged 15-29 years so far. The diagnostic procedures consists of evaluation of symptoms with the use of the Comprehensive Assessment of At-Risk Mental State (CAARMS), assessment of premorbid and current personality traits and the evaluation of cognitive functions. Therapeutic interventions include cognitive behavioural therapy, diet supplementation with omega-3 fatty acids and pharmacological treatment. Overall rate of conversion into psychosis within the years 2010-2103 was 18.5%. The programme has also been a source of research in the field of early psychosis. The PORT programme enables young people with an ARMS an easy access to the specialized service offering treatment tailored to their specific needs. © 2014 Wiley Publishing Asia Pty Ltd.

  13. European seminar: Mobility and society. Approaches to consciousness development and new kinds of services. Proceedings; Europaeisches Seminar: Mobilitaet und Gesellschaft. Wege zur Bewusstseinsbildung und neue Dienstleistungen. Eine Aktion des THERMIE Programms. Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    The THERMIE programme deals, inter alia, with rational energy use in the transport sector. This volume contains the lectures given at the seminar ``Mobility and society``. Apart from the plenary sessions, task force meetings on the following subjects were held: conscious mobility; corporate management of transport to and from work; status and perspectives of central mobility agencies; new forms of mobility: the part played by public transport services; complementary service forms in public transport; car-sharing: experiences and perspectives; mobility as a political task and new services towards mobility. Separate records are available for 15 contributions. (BWI) [Deutsch] Im Rahmen des THERMIE-Programmes wird auch die rationelle Energieverwendung im Verkehrswesen behandelt. Der vorliegende Band druckt die Vortraege des Seminars zum Mobilitaet und Gesellschaft ab. Neben den Plenarsitzungen wurden Arbeitsgruppen zu folgenden Themen durchgefuehrt: Bewusste Mobilitaet; Betriebsmanagement fuer den Berufsverkehr; Status und Perspektiven von Mobilitaetszentralen; neue Formen der Mobilitaet: Die Rolle der Verkehrsbetriebe; ergaenzende Bedienungsformen im OePNV; Car-Sharing: Erfahrungen und Perspektiven; Politik und neue Dienstleistungen in Sachen Mobilitaet. Fuer 15 Beitraege wurde eine gesonderte inhaltliche Erschliessung durchgefuehrt. (BWI)

  14. IAEA occupational radiation protection programme: current status

    International Nuclear Information System (INIS)

    Deboodt, P.; Mrabit, K.

    2006-01-01

    As stated in Art.III.A.6 of its Statute, the International Atomic Energy Agency (commonly referred to as the Agency) is authorized to establish or adopt, in consultation and, where appropriate, in collaboration with the competent organs of the United Nations and with the specialized agencies concerned, standards of safety for protection of health and minimization of danger to life and property (including such standards for labour conditions), and to provide for the application of these standards to its own operation as well as to the operations making use of materials, services, equipment, facilities, and information made available by the Agency or at its request or under its control or supervision. The Agency s Occupational Radiation Protection Programme aims at harmonizing infrastructures for the control of radiation exposure of workers and for optimizing radiation protection in situation s of exposures due to external radiation and intakes of radionuclides from both artificial and natural sources of radiation. Under its regular and technical cooperation programmes, the Agency has been assigning high priority to both the establishment of safety standards for labour conditions and for the application of these standards through, Interalia, direct assistance under its technical cooperation (TC) programme, the rendering of services, the promotion of education and training, the fostering of information exchange and the coordination of research and development. The purpose of this paper is to present the current status and future IAEA activities in support of occupational radiation protection. (authors)

  15. The Mission of customer loyalty programmes and peculiarities of their development

    OpenAIRE

    Bagdonienė, Liudmila; Jakštaitė, Rasa

    2006-01-01

    Loyalty is a characteristic of a person showing any relation with an object – goods, service or enterprise. Nowadays it is important to earn loyalty of investors, employees and customers. The article deals with essence of customer loyalty, dimensions of customer loyalty, mission, goals, tasks of customer loyalty as well as disputes a process of developing customer loyalty programme: choice of a target group, grounding the structure implementing customer loyalty programme, registration of part...

  16. Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique: an equity analysis.

    Science.gov (United States)

    Give, Celso Soares; Sidat, Mohsin; Ormel, Hermen; Ndima, Sozinho; McCollum, Rosalind; Taegtmeyer, Miriam

    2015-09-01

    Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20 % of community health workers' (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80 % on activities promoting health and preventing illness. We set out to conduct a health system and equity analysis, exploring experiences and expectations of APEs, community members and healthcare workers supervising APEs. This exploratory qualitative study captured the perspectives of a range of participants including women caring for children under 5 years (service clients), community leaders, service providers (APEs) and their supervisors. Participants in the Moamba and Manhiça districts, located in Maputo Province (Mozambique), were selected purposively. In total, 29 in-depth interviews and 9 focus group discussions were conducted in the local language and/or Portuguese. A framework approach was used for analysis, assisted by NVivo10 software. Our analysis revealed that health equity is viewed as linked to the quality and coverage of the APE programme. Demand and supply factors interplay to shape health equity. The availability of responsive and appropriate services led to tensions between community expectations for curative services (and APEs' willingness to perform them) and official policy focusing APE efforts mainly on preventive services and health promotion. The demand for more curative services by community members is a result of having limited access to healthcare services other than those offered by APEs. This study highlights the need to pay attention to the determinants of demand and supply of community interventions in health, to understand the opportunities and challenges of the difficult interface role played by APEs and to create communication among stakeholders in order to build a stronger, more

  17. Compulsory and recommended vaccination in Italy: evaluation of coverage and non-compliance between 1998-2002 in Northern Italy

    OpenAIRE

    Stampi, Serena; Ricci, Rita; Ruffilli, Isa; Zanetti, Franca

    2005-01-01

    Abstract Background Since vaccinations are an effective prevention tool for maintaining the health of society, the monitoring of immunization coverage allows us to identify areas where disease outbreaks are likely to occur, and possibly assist us in predicting future outbreaks. The aim of this study is the investigation of the coverage achieved for compulsory (diphtheria, tetanus, polio, hepatitis B,) and recommended (pertussis, Haemophilus influenzae, measles-mumps-rubella) vaccinations betw...

  18. English language pre-service and in-service teachers’ self-efficacy and attitudes towards integration of students with learning difficulties

    Directory of Open Access Journals (Sweden)

    Cimermanová Ivana

    2017-01-01

    Full Text Available The study of foreign languages is obligatory for all pupils in Slovakia, where the first foreign language is English. Conforming to integration legislation, pupils with special educational needs (SEN are taught in mainstream classes. Foreign language teachers, however, lack training and where not prepared how to apply teaching methods and techniques for pupils with SEN in the regular language learning class. In the study presented, 187 elementary school teachers filled out questionnaires dealing with integration of pupils with SEN and possible inclusion of learners with disabilities in Slovakia and a group of 56 university FLT students - teachers-to-be. Teachers are not forced and/or encouraged to take part in in-service courses or other education on how to teach these pupils. The pre-service teachers are offered courses on SEN teaching, however, these are not compulsory and mostly general education oriented. The majority of in-service and pre-service teachers felt that pupils with SEN should be taught in regular education class. The article also describes the current situation concerning integration of students with SEN using the official statistical data.

  19. The current and potential health benefits of the National Health Service Health Check cardiovascular disease prevention programme in England: A microsimulation study.

    Science.gov (United States)

    Mytton, Oliver T; Jackson, Christopher; Steinacher, Arno; Goodman, Anna; Langenberg, Claudia; Griffin, Simon; Wareham, Nick; Woodcock, James

    2018-03-01

    The National Health Service (NHS) Health Check programme was introduced in 2009 in England to systematically assess all adults in midlife for cardiovascular disease risk factors. However, its current benefit and impact on health inequalities are unknown. It is also unclear whether feasible changes in how it is delivered could result in increased benefits. It is one of the first such programmes in the world. We sought to estimate the health benefits and effect on inequalities of the current NHS Health Check programme and the impact of making feasible changes to its implementation. We developed a microsimulation model to estimate the health benefits (incident ischaemic heart disease, stroke, dementia, and lung cancer) of the NHS Health Check programme in England. We simulated a population of adults in England aged 40-45 years and followed until age 100 years, using data from the Health Survey of England (2009-2012) and the English Longitudinal Study of Aging (1998-2012), to simulate changes in risk factors for simulated individuals over time. We used recent programme data to describe uptake of NHS Health Checks and of 4 associated interventions (statin medication, antihypertensive medication, smoking cessation, and weight management). Estimates of treatment efficacy and adherence were based on trial data. We estimated the benefits of the current NHS Health Check programme compared to a healthcare system without systematic health checks. This counterfactual scenario models the detection and treatment of risk factors that occur within 'routine' primary care. We also explored the impact of making feasible changes to implementation of the programme concerning eligibility, uptake of NHS Health Checks, and uptake of treatments offered through the programme. We estimate that the NHS Health Check programme prevents 390 (95% credible interval 290 to 500) premature deaths before 80 years of age and results in an additional 1,370 (95% credible interval 1,100 to 1,690) people

  20. Report of a consultants` meeting to review the IAEA programme on operational safety services as part of the programme performance assessment system (PPAS) within the IAEA

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-09-01

    The consultants consider that the ASCOT (Assessment of Safety Culture in Organizations Team), ASSET (Assessment of Safety Significant Events Team), and OSART (Operational Safety Review Team) programmes contribute to enhancing safe performance of Member States nuclear power plants. Continued co-ordination with the World Association of Nuclear Operators and national programmes in addition to continued emphasis on developing self assessment capabilities at the power plants will contribute to continuing improvement. International performance indicators clearly portray improvements in almost all areas. For example, the incidence of unplanned scrams and the unavailability of systems important to safety reduced. All three programmes ASCOT, ASSET and OSART may be improved by: tailoring them to meet the requested need. This includes not only the use of the OSART modular concepts but also the mixing and matching of the programmes. All three programmes can be enhanced by the sharing and use of their individual current techniques. The balance between assistance for conducting self assessment and direct assessment activities must be carefully considered. Country profiles could assist the Agency staff in advising Member States on request in the technique; power plant assistance or direct assessment, that would yield the best result. It is therefore recommended that the Agency go forward with the effort to develop these profiles. Figs, tabs.

  1. Report of a consultants' meeting to review the IAEA programme on operational safety services as part of the programme performance assessment system (PPAS) within the IAEA

    International Nuclear Information System (INIS)

    1996-09-01

    The consultants consider that the ASCOT (Assessment of Safety Culture in Organizations Team), ASSET (Assessment of Safety Significant Events Team), and OSART (Operational Safety Review Team) programmes contribute to enhancing safe performance of Member States nuclear power plants. Continued co-ordination with the World Association of Nuclear Operators and national programmes in addition to continued emphasis on developing self assessment capabilities at the power plants will contribute to continuing improvement. International performance indicators clearly portray improvements in almost all areas. For example, the incidence of unplanned scrams and the unavailability of systems important to safety reduced. All three programmes ASCOT, ASSET and OSART may be improved by: tailoring them to meet the requested need. This includes not only the use of the OSART modular concepts but also the mixing and matching of the programmes. All three programmes can be enhanced by the sharing and use of their individual current techniques. The balance between assistance for conducting self assessment and direct assessment activities must be carefully considered. Country profiles could assist the Agency staff in advising Member States on request in the technique; power plant assistance or direct assessment, that would yield the best result. It is therefore recommended that the Agency go forward with the effort to develop these profiles. Figs, tabs

  2. Evaluation of an Adoption Strategy for a Healthy Diet Programme for Lower Vocational Schools

    Science.gov (United States)

    Bessems, Kathelijne M. H. H.; van Assema, Patricia; Paulussen, Theo W. G. M.; de Vries, Nanne K.

    2011-01-01

    This paper describes the evaluation of an adoption strategy for the school-based healthy diet programme Krachtvoer. Health promotion (HP) professionals from five Regional Public Health Services (RPHSs) in The Netherlands were asked to recruit a total of 25 schools to adopt the Krachtvoer programme in accordance with this strategy. Afterwards, they…

  3. Addressing poverty through disease control programmes: examples from Tuberculosis control in India.

    Science.gov (United States)

    Kamineni, Vishnu Vardhan; Wilson, Nevin; Das, Anand; Satyanarayana, Srinath; Chadha, Sarabjit; Sachdeva, Kuldeep Singh; Chauhan, Lakbir Singh

    2012-03-26

    Tuberculosis remains a major public health problem in India with the country accounting for one-fifth or 21% of all tuberculosis cases reported globally. The purpose of the study was to obtain an understanding on pro-poor initiatives within the framework of tuberculosis control programme in India and to identify mechanisms to improve the uptake and access to TB services among the poor. A national level workshop was held with participation from all relevant stakeholder groups. This study conducted during the stakeholder workshop adopted participatory research methods. The data was elicited through consultative and collegiate processes. The research study also factored information from primary and secondary sources that included literature review examining poverty headcount ratios and below poverty line population in the country; and quasi-profiling assessments to identify poor, backward and tribal districts as defined by the TB programme in India. Results revealed that current pro-poor initiatives in TB control included collaboration with private providers and engaging community to improve access among the poor to TB diagnostic and treatment services. The participants identified gaps in existing pro-poor strategies that related to implementation of advocacy, communication and social mobilisation; decentralisation of DOT; and incentives for the poor through the available schemes for public-private partnerships and provided key recommendations for action. Synergies between TB control programme and centrally sponsored social welfare schemes and state specific social welfare programmes aimed at benefitting the poor were unclear. Further in-depth analysis and systems/policy/operations research exploring pro-poor initiatives, in particular examining service delivery synergies between existing poverty alleviation schemes and TB control programme is essential. The understanding, reflection and knowledge of the key stakeholders during this participatory workshop provides

  4. The Agency's Technical Co-operation programme with Costa Rica, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $2.8 million of Agency support received, Costa Rica ranks 49th among all recipients of technical assistance in the period 1958-1991. Over half of the assistance during the past ten years has been provided in the form of equipment (52%), followed by expert services (37%) and training (11%). Sixty-two per cent of the resources were made available through the Technical Assistance and Co-operation Fund, while 37% of the resources were provided by UNDP. The rest was made available through extrabudgetary contributions (5%) and through in-kind assistance (1%). With regard to project disbursement by sector, the largest areas have been nuclear raw materials (36%), nuclear physics and chemistry (24%) and agriculture (20%). Smaller shares have gone to hydrology (11%) and nuclear medicine (8%)

  5. Enter B and W: two new meningococcal vaccine programmes launched.

    Science.gov (United States)

    Ladhani, Shamez N; Ramsay, Mary; Borrow, Ray; Riordan, Andrew; Watson, John M; Pollard, Andrew J

    2016-01-01

    In 2015, the UK became the first country in the world to have a comprehensive routine meningococcal vaccine programme targeting all of the main capsular groups of N. meningitidis. 1 An infant vaccine programme against meningococcal capsular group B Neisseria meningitidis (MenB) was launched from 1st September with an aim to reduce endemic MenB disease in early childhood. On 1st August 2015, an adolescent programme against groups A, C, W and Y meningococci (MenACWY) was rolled out to halt a growing outbreak of capsular group W disease (MenW) caused by a hypervirulent clone of N. meningitidis, in addition to maintaining control against MenC disease provided by the current adolescent programme. 2. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  6. Contribution of the Member State Support Programmes to IAEA safeguards

    International Nuclear Information System (INIS)

    Fortakov, V.; Gardiner, D.; Rautjaervi, J.

    1999-01-01

    Over the last twenty years, Member States of the International Atomic Energy Agency (IAEA) have provided invaluable technical support to IAEA Safeguards. This support has covered practically all aspects of traditional safeguards activities and also those activities recently proposed and introduced for strengthening the safeguards system. As of August 1997, there were fourteen Member States, plus EURATOM, with active programmes in support of IAEA safeguards and the activities conducted under these Member State Support Programmes (MSSPs) are currently valued at an annual twenty million dollars of extra-budgetary contribution to the IAEA. The overall administration in the IAEA of the support programmes is the responsibility of Support Programmes Administration (SPA) in the Safeguards Division of Technical Services. This paper describes the roles and the contributions of the MSSPs, the functions of the MSSP administration activities, and the vital importance the IAEA attaches to the MSSPs. (author)

  7. Nature and impact of European anti-stigma depression programmes.

    Science.gov (United States)

    Quinn, Neil; Knifton, Lee; Goldie, Isabella; van Bortel, Tine; Dowds, Julie; Lasalvia, Antonio; Scheerder, Gert; Boumans, Jenny; Svab, Vesna; Lanfredi, Mariangela; Wahlbeck, Kristian; Thornicroft, Graham

    2014-09-01

    Stigma associated with depression is a major public health issue in the EU, with over 20 million people experiencing depression and its associated personal distress each year. While most programmes against stigma related to mental health problems are of a general nature, the knowledge about programmes tackling stigma against people with depression is limited. This study therefore aims to assess the nature and impact of depression-specific programmes in EU countries. Using a web-based tool, 26 programmes were identified across the 18 EU countries taking part in the study. Most were universal and targeted the whole population, while many also targeted specific population groups or settings, such as young people or health professionals. The most common programme aim was improving literacy, although reducing stigmatizing attitudes and discriminatory behaviour and promoting help-seeking were also common. Most programmes originated from professional bodies, or as grassroots initiatives from service user groups/NGOs, rather than as part of national and local policy. The approaches used were primarily different forms of education/information, with some, but very limited, use of positive personal contact. Overall, the quality and extent of impact of the programmes was limited, with few leading to peer-reviewed publications. Specific programmes were identified with evidence of positive impact, and we drew on these examples to develop a framework to be used for future programmes against stigma and discrimination associated with depression. These findings are provided in full in the Anti-Stigma Partnership European Network Toolkit available at www.antistigma.eu. © The Author (2013). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Quality control programme for radiotherapy

    International Nuclear Information System (INIS)

    Campos de Araujo, A.M.; Viegas, C.C.B.; Viamonte, A.M.

    2002-01-01

    A 3 years pilot programme started in January 2000 with 33 philanthropic cancer institutions that provides medical services to 60% of the patients from the national social security system. Brazil has today 161 radiotherapy services (144 operating with megavoltage equipment). These 33 institutions are distributed over 19 Brazilian states. The aim of this programme is: To create conditions to allow the participants to apply the radiotherapy with quality and efficacy; To promote up dating courses for the physicians, physicists and technicians of these 33 Institutions. With the following objectives: To recommend dosimetric and radiological protection procedures in order to guarantee the tumor prescribed dose and safe working conditions; To help in establishing and implementing these procedures. The main activities are: local quality control evaluations, postal TLD audits in reference conditions, postal TLD audits in off axis conditions and training. The local quality control program has already evaluated 22 institutions with 43 machines (25 Co-60 and 18 linear accelerators). In these visits we perform dosimetric, electrical, mechanical and safety tests. As foreseen, we found more problems among the old Co-60 machines i.e., field flatness, size, symmetry and relative output factors; lasers positioning system alignment; optical distance indicator; radiation and light field coincidence; optical and mechanical distance indicators agreement, than among the linear accelerators i.e., field flatness and size; lasers positioning system alignment; tray interlocking and wedge filter factors

  9. Human factors that derail extension services delivery in developing countries: implications for policy

    Directory of Open Access Journals (Sweden)

    E.N. Ajani

    2012-12-01

    Full Text Available The paper examines human factors derailing extension services delivery in developing countries. Poor management of rewards and incentives; quality of work life; poor assessment system; limited quality of human resource; inadequate extension support training materials; inconsistencies of government programmes; inadequate staff training and poor extension programme evaluation were viewed as major constraints. Considering the role of extension to agricultural development, the paper recommends that efforts should be made by the various stakeholders in agricultural extension services to improve the capability of human resources involved in extension services and highlights the need for government agricultural programmes to be consistent to enable the beneficiaries of such programmes derive the benefits that will boost productivity in agriculture.

  10. Major health service transformation and the public voice: conflict, challenge or complicity?

    Science.gov (United States)

    Martin, Graham P; Carter, Pam; Dent, Mike

    2018-01-01

    Objectives Calls for major reconfigurations of health services have been accompanied by recommendations that wide ranging stakeholders be involved. In particular, patients and the wider public are seen as critical contributors as both funders and beneficiaries of public health care. But public involvement is fraught with challenges, and little research has focused on involvement in the health service transformation initiatives. This paper examines the design and function of public involvement in reconfiguration of health services within the English NHS. Methods Qualitative data including interviews, observation and documents were collected in two health service 'transformation' programmes; interviews include involved public and professional participants. Data were analysed using parallel deductive and inductive approaches. Results Public involvement in the programmes was extensive but its terms of reference, and the individuals involved, were restricted by policy pressures and programme objectives. The degree to which participants descriptively or substantively represented the wider public was limited; participants sought to 'speak for' this public but their views on what was 'acceptable' and likely to influence decision-making led them to constrain their contributions. Conclusions Public involvement in two major service reconfiguration programmes in England was seen as important and functional, and could not be characterized as tokenistic. Yet involvement in these programmes fell short of normative ideals, and could inadvertently reduce, rather than enlarge, public influence on health service reconfiguration decisions.

  11. A pilot study evaluating a support programme for parents of young people with suicidal behaviour.

    LENUS (Irish Health Repository)

    Power, Lorna

    2009-01-01

    ABSTRACT: BACKGROUND: Deliberate self harm (DSH) is a major public health concern and has increased among young people in Ireland. While DSH is undoubtedly the result of interacting factors, studies have identified an association between DSH and family dysfunction as well as the protective role of positive family relationships. Following a focus group meeting held to identify the needs of parents and carers of young people with DSH, a support programme (SPACE) was developed. The aims of the current study are to evaluate the effectiveness of the SPACE programme in decreasing parental psychological distress, reducing parental report of young peoples\\' difficulties, increasing parental satisfaction and increasing parents\\' ratings of their own defined challenges and goals. METHODS: Participants were recruited from a Mental Health Service within a paediatric hospital, Community Child and Adolescent Mental Health Teams and family support services. All services were located within the greater Dublin area in Ireland. Forty-six parents of children who had engaged in or expressed thoughts of self harm attended the programme and participated in the evaluation study. The programme ran once a week over an 8-week period and included topics such as information on self harm in young people, parenting adolescents, communication and parental self-care. Seventy percent (N = 32) of the original sample at Time 1 completed measures at Time 2 (directly following the programme) and 37% (N = 17) of the original sample at Time 1 completed them at Time 3 (6 months following the programme).A repeated measures design was used to identify changes in parental wellbeing after attendance at the programme as well as changes in parental reports of their children\\'s difficulties. RESULTS: Participants had lower levels of psychological distress, increased parental satisfaction, lower ratings of their own defined challenges and higher ratings of their goals directly after the programme. These

  12. A pilot study evaluating a support programme for parents of young people with suicidal behaviour

    Directory of Open Access Journals (Sweden)

    Crowley Sinead

    2009-07-01

    Full Text Available Abstract Background Deliberate self harm (DSH is a major public health concern and has increased among young people in Ireland. While DSH is undoubtedly the result of interacting factors, studies have identified an association between DSH and family dysfunction as well as the protective role of positive family relationships. Following a focus group meeting held to identify the needs of parents and carers of young people with DSH, a support programme (SPACE was developed. The aims of the current study are to evaluate the effectiveness of the SPACE programme in decreasing parental psychological distress, reducing parental report of young peoples' difficulties, increasing parental satisfaction and increasing parents' ratings of their own defined challenges and goals. Methods Participants were recruited from a Mental Health Service within a paediatric hospital, Community Child and Adolescent Mental Health Teams and family support services. All services were located within the greater Dublin area in Ireland. Forty-six parents of children who had engaged in or expressed thoughts of self harm attended the programme and participated in the evaluation study. The programme ran once a week over an 8-week period and included topics such as information on self harm in young people, parenting adolescents, communication and parental self-care. Seventy percent (N = 32 of the original sample at Time 1 completed measures at Time 2 (directly following the programme and 37% (N = 17 of the original sample at Time 1 completed them at Time 3 (6 months following the programme. A repeated measures design was used to identify changes in parental wellbeing after attendance at the programme as well as changes in parental reports of their children's difficulties. Results Participants had lower levels of psychological distress, increased parental satisfaction, lower ratings of their own defined challenges and higher ratings of their goals directly after the programme. These

  13. Effects of a physical activity programme on body perception and composition in overweight adolescents

    Directory of Open Access Journals (Sweden)

    Onofre Ricardo Contreras-Jordán

    2017-03-01

    Full Text Available Background The purpose of this study was to examine the effectiveness of a six months' physical activity programme for overweight and obese adolescents, in order to improve the perception of their own body image and composition between two groups of adolescents, and to check possible gender differences. Aims The aim is to improve the body perception and composition in overweight adolescents with a physical activity programme. Methods It was a quasi-experimental design, with a control group and intervention group. Measures of pre-test and post-test were taken. A total of 38 adolescents that belong to the first cycle of Compulsory Secondary aged 12–15, with a body mass index (BMI higher than the 85th percentile according to the WHO (World Health Organization, participated in the intervention. The anthropometric variables, height, weight, BMI, body fat percentage, and the circumference of the waist, hip, arm and medial calf, were measured pre- and post-treatment. The body image perception was measured using the Gardner test. The experimental group participated in the physical activity programme for a six months period. The physical activity intervention consisted of three sessions of 90 minutes each week in a sports centre. The structure of the sessions consisted of a warm-up (5–10 minutes, a main activity (60–70 minutes, combineding strength and cardiovascular training and a cool-down (7–10 minutes. Results After physical activity intervention the results showed significant improvements in the experimental group compared to the control group in the circumference of the waist, the hip, the arm, the medial calf (p<0.01 and as well as the fat percentage, the percentage of muscle mass (p<0.05. The results showed how the body image distortion presented a significant and negative correlation with the circumference of the waist (p<0.001, of the hips (p<0.01, and of the arm (p<0.001, differences were observed between gender. Conclusion Our study

  14. Are family-centred principles, functional goal setting and transition planning evident in therapy services for children with cerebral palsy?

    Science.gov (United States)

    Darrah, J; Wiart, L; Magill-Evans, J; Ray, L; Andersen, J

    2012-01-01

    Family-centred service, functional goal setting and co-ordination of a child's move between programmes are important concepts of rehabilitation services for children with cerebral palsy identified in the literature. We examined whether these three concepts could be objectively identified in programmes providing services to children with cerebral palsy in Alberta, Canada. Programme managers (n= 37) and occupational and physical therapists (n= 54) representing 59 programmes participated in individual 1-h semi-structured interviews. Thirty-nine parents participated in eleven focus groups or two individual interviews. Evidence of family-centred values in mission statements and advisory boards was evaluated. Therapists were asked to identify three concepts of family-centred service and to complete the Measures of Process of Care for Service Providers. Therapists also identified therapy goals for children based on clinical case scenarios. The goals were coded using the components of the International Classification of Functioning Disability and Health. Programme managers and therapists discussed the processes in their programmes for goal setting and for preparing children and their families for their transition to other programmes. Parents reflected on their experiences with their child's rehabilitation related to family-centredness, goal setting and co-ordination between programmes. All respondents expressed commitment to the three concepts, but objective indicators of family-centred processes were lacking in many programmes. In most programmes, the processes to implement the three concepts were informal rather than standardized. Both families and therapists reported limited access to general information regarding community supports. Lack of formal processes for delivery of family-centred service, goal-setting and co-ordination between children's programmes may result in inequitable opportunities for families to participate in their children's rehabilitation despite

  15. An implementation evaluation of a voluntary counselling and testing programme for the human immunodeficiency virus (HIV and acquired immunodeficiency syndrome (AIDS

    Directory of Open Access Journals (Sweden)

    Tarryn N. Anderson

    2012-07-01

    Research purpose: The purpose of this evaluation was to assess whether or not a Voluntary Counselling and Testing (VCT programme for HIV and AIDS, at a South African university, was implemented as intended. Motivation for the study: The evaluators were motivated to explore indications in the existing literature about these programmes that participants in VCT programmes are often not the intended target population who live a high risk lifestyle. Research design, approach and method: A descriptive design was used to evaluate service utlisation, service delivery and organisational support. Questionnaire data from 285 respondents who participated in the programme and programme records supplied by the programme staff were consulted to answer the evaluation questions. Main findings: The evaluation showed that the highest uptake for the programme occurred amongst female students. The low uptake amongst men was a concern. It was found that the programme was delivered as intended and that there were enough resources to implement it according to standards set. Practical/managerial implications: The systematic report on the programme process provided the programme managers with practical suggestions for programme improvement. Contribution/value-add: This was the first implementation evaluation of a VCT programme in a South African university context. As such it aimed to educate programme managers to think evaluatively about introducing new or continuing existing programmes.

  16. Effectiveness of a computer based medication calculation education and testing programme for nurses.

    Science.gov (United States)

    Sherriff, Karen; Burston, Sarah; Wallis, Marianne

    2012-01-01

    The aim of the study was to evaluate the effect of an on-line, medication calculation education and testing programme. The outcome measures were medication calculation proficiency and self efficacy. This quasi-experimental study involved the administration of questionnaires before and after nurses completed annual medication calculation testing. The study was conducted in two hospitals in south-east Queensland, Australia, which provide a variety of clinical services including obstetrics, paediatrics, ambulatory, mental health, acute and critical care and community services. Participants were registered nurses (RNs) and enrolled nurses with a medication endorsement (EN(Med)) working as clinicians (n=107). Data pertaining to success rate, number of test attempts, self-efficacy, medication calculation error rates and nurses' satisfaction with the programme were collected. Medication calculation scores at first test attempt showed improvement following one year of access to the programme. Two of the self-efficacy subscales improved over time and nurses reported satisfaction with the online programme. Results of this study may facilitate the continuation and expansion of medication calculation and administration education to improve nursing knowledge, inform practise and directly improve patient safety. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  17. The Agency's Technical Co-operation programme with Madagascar, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $3.5 million of Agency support received, Madagascar ranks 42nd among all recipients of technical assistance in the period 1958 through 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (55%), followed by expert services (32%) and training (13%). With a share of 69%, the Technical Assistance and Co-operation Fund has provided more than two-thirds of the total resources available, while 29% were made available through UNDP and 2% through assistance in kind. Extrabudgetary contributions accounted for less than one per cent. With regard to project disbursements during the past ten years, by sector, by far the largest area has been nuclear raw materials (66%), followed by nuclear physics and chemistry (18%). Only small shares have gone to nuclear safety (7%), agriculture (5%) and nuclear engineering and technology (4%)

  18. The Agency's Technical Co-operation programme with Cuba, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With almost $8.2 million of Agency support received, Cuba ranks 19th among all recipients of technical assistance in the period 1958 - 1991, whereby it ranked as high as 3rd in 1982 and 4th in 1984. Over three quarters of the assistance during the past ten years has been provided in the form of equipment (81%), followed by expert services (10%) and training (9%). Seventy-one per cent of the resources were made available through the Technical Assistance and Co-operation Fund, while 28% of the resources were provided by UNDP. The remaining 1% was made available through extrabudgetary and in-kind contributions. With regard to project disbursements by sector, the largest areas have been general atomic energy development (36%), agriculture (20%), nuclear physics and chemistry (10%) and nuclear safety (10%). Industry and hydrology, nuclear engineering and technology, and nuclear medicine have each received less than ten per cent of the assistance provided

  19. The Agency's Technical Co-operation programme with Ghana, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $6.5 million of Agency support received, Ghana ranks 29th among all recipients of technical assistance in the period 1958 - 1991. More than half of the assistance during the past ten years has been provided in the form of equipment (53%), followed by training through fellowships and scientific visits (34%) and expert services (13%). Seventy-four per cent of the resources were provided by the Technical Assistance and Co-operation Fund, 13% through assistance in kind, 11% through extrabudgetary contributions, and 2% by UNDP. It should be noted that the share for extrabudgetary contributions includes an amount of $250,000 made available by the Ghanaian Government for the purchase of equipment by the Agency under a funds-in-trust arrangement. With regard to project disbursement by sector, the largest share has gone to agriculture (36%), followed by nuclear physics and chemistry (21%), nuclear medicine (16%), industry and hydrology (14%) and nuclear engineering and technology (9%)

  20. The Agency's Technical Co-operation programme with Sudan, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $5.7 million of Agency support received, Sudan ranks 31st among all recipients of technical assistance in the period 1958 through 1991. Over the past ten years, almost equal shares of this assistance were provided in the form of equipment (46%) and training (42%), and only a small percentage was provided in the form of expert services (12%). The best part of the resources was made available through the Technical Assistance and Co-operation Fund (77%), while in-kind and extrabudgetary contributions account for 13% and 10% of the resources, respectively. With regard to project disbursement during the past ten years, by sector, the two largest areas have been general atomic energy development (37%) and agriculture (21%), followed by nuclear medicine (14%). Smaller shares (6% each) have gone to nuclear physics and chemistry, nuclear engineering and technology, hydrology, and nuclear safety

  1. The WHO AFRO external quality assessment programme (EQAP: Linking laboratory networks through EQA programmes

    Directory of Open Access Journals (Sweden)

    Debrah I. Boeras

    2016-10-01

    Full Text Available External Quality Assessment (EQA surveys performed by the World Health Organization Regional Office for Africa (WHO AFRO revealed the need for the strengthening of publichealth microbiology laboratories, particularly for testing of epidemic-prone diseases in theAfrican Region. These surveys revealed common issues such as supply chain managementskilled personnel, logistical support and overall lack of quality standards. For sustainableimprovements to health systems as well as global health security, deficiencies identified needto be actively corrected through robust quality assurance programmes and implementation oflaboratory quality management systems. Given all the pathogens of public health importance, an external quality assessment programmewith a focus on vaccine-preventable diseases and emerging and re-emerging dangerouspathogens is important, and should not be stand-alone, but integrated within laboratorynetworks as seen in polio, measles, yellow fever and rubella. In 2015, WHO AFRO collaborated with the US Centers for Disease Control and Preventionthe London School of Hygiene & Tropical Medicine and partners in a series of consultationswith countries and national and regional EQA providers for the development of qualityassurance models to support HIV point-of-care testing and monitoring. These consultationsrevealed similar challenges as seen in the WHO AFRO surveys. WHO AFRO brought forthits experience in implementing quality standards for health programmes, and also openeddiscussions on how lessons learned through such established programmes can be utilised tosupporting and strengthening the introduction of early infant diagnosis of HIV and viralload point-of-care testing. An optimised external quality assessment programme will impact the ability of countries tomeet core capacities, providing improved quality management systems, improving theconfidence of diagnostic network services in Africa, and including capacities to detect eventsof

  2. Lecturers, librarians and students in collaboration – A way of achieving complex educational goals in information literacy in three programmes at Lund University

    Directory of Open Access Journals (Sweden)

    Cajsa Andersson

    2013-12-01

    Full Text Available A key factor in achieving educational goals is collaboration between lecturers at faculty and departmental level, and librarians. Experience has shown that generic skills should be integrated into courses. For example, exercises in information searching, criticism of sources of information and group work will only be meaningful if they are clearly related to the students' subject of study. This is a challenging logistical problem in large groups of students. In the spring of 2009, we started working on the introduction and integration of generic skills using two variations of a model. The experience gained from these initial attempts has been applied in the introduction of first-year university students. To date (autumn term 2012, almost 900 students starting programmes in Engineering Physics, Environmental Engineering, and Industrial Management and Engineering, have taken part in a compulsory introductory course.

  3. Student perceptions and attitudes about Community Service ...

    African Journals Online (AJOL)

    Much of the international research on Community Service-Learning has investigated the benefits, outcomes, and learning experiences of students already engaged in service-learning projects and programmes. As there is scant research on students\\' attitudes to and perceptions of Service-Learning, before this learning ...

  4. The political and scientific challenges in evaluating compulsory drug treatment centers in Southeast Asia.

    Science.gov (United States)

    Vuong, Thu; Nguyen, Nhu; Le, Giang; Shanahan, Marian; Ali, Robert; Ritter, Alison

    2017-01-11

    In Vietnam, like many countries in Southeast Asia, the commonly used approach of center-based compulsory drug treatment (CCT) has been criticized on human rights ground. Meanwhile, community-based voluntary methadone maintenance treatment (MMT) has been implemented for nearly a decade with promising results. Reform-minded leaders have been seeking empirical evidence of the costs and effectiveness associated with these two main treatment modalities. Conducting evaluations of these treatments, especially where randomization is not ethical, presents challenges. The aim of this paper is to discuss political challenges and methodological issues when conducting cost-effectiveness studies within the context of a non-democratic Southeast Asian country. A retrospective analysis of the political and scientific challenges that were experienced in the study design, sample size determination, government approval and ethics approvals, participant recruitment, data collection, and determination of sources, and quantification of cost and effectiveness data was undertaken. As a consequence of the non-randomized design, analysis of patient characteristics for both treatment types was undertaken to identify the magnitude of baseline group differences. Concordance between self-reported heroin use and urine drug testing was undertaken to determine the reliability of self-report data in a politically challenging environment. We demonstrate that conducting research around compulsory treatment in a non-democratic society is feasible, yet it is politically challenging and requires navigation between science and politics. We also demonstrate that engagement with the government decision makers in the research conception, implementation, and dissemination of the results increases the likelihood of research evidence being considered for change in a contentious drug policy area. Local empirical evidence on the comparative cost-effectiveness of CCT and MMT in a Southeast Asian setting is

  5. After compulsory licensing: coming issues in Canadian pharmaceutical policy and politics.

    Science.gov (United States)

    Lexchin, J

    1997-04-01

    Bills C-22 and C-91 eliminated compulsory licensing for pharmaceutical products in Canada. However, in the wake of these bills there are pressing issues of pharmaceutical policy that need to be decided. The value of additional spending in pharmaceutical R and D has yet to be evaluated. There needs to be a public debate about how far government policy should go in encouraging pharmaceutical R and D as opposed to investing resources in other areas. There has been a continuing escalation in the cost of the average prescription, due to the introduction of newer, but not necessarily more effective, medications. So far government has not been willing to commit resources to promote cost-effective prescribing. Pharmaceutical companies are now lobbying for more rapid approval of products and an extension to the normal patent period to make up for the time that drugs spend in the regulatory process. The process that the government uses to resolve these issues will be just as important as the ultimate decisions.

  6. How online sexual health services could work; generating theory to support development.

    Science.gov (United States)

    Baraitser, Paula; Syred, Jonathan; Spencer-Hughes, Vicki; Howroyd, Chris; Free, Caroline; Holdsworth, Gillian

    2015-12-05

    Online sexual health services are an emerging area of service delivery. Theory of change critically analyses programmes by specifying planned inputs and articulating the causal pathways that link these to anticipated outcomes. It acknowledges the changing and contested nature of these relationships. We developed two versions of a theory of change for an online sexual health service. The first articulated the theory presented in the original programme proposal and the second documented its development in the early stages of implementation through interviews with key programme stakeholders. The programme proposal described an autonomous and empowered user completing a sexual health check using a more convenient, accessible and discreet online service and a shift from clinic based to online care. The stakeholder interviews confirmed this and described new and more complex patterns of service use as the online service creates opportunities for providers to contact users outside of the traditional clinic visit and users move between online and clinic based care. They described new types of user/provider relationships which we categorised as: those influenced by an online retail culture; those influenced by health promotion outreach and surveillance and those acknowledging the need for supported access. This analysis of stakeholder views on the likely the impacts of online sexual health services suggests three areas for further thinking and research. 1. Co-development of clinic and online services to support complex patterns of service use. 2. Developing access to online services for those who could use them with support. 3. Understanding user experience of sexual health services as increasing user autonomy and choice in some situations; creating exclusion and a need for support in others and intrusiveness and a lack of control in still others. This work has influenced the evaluation of this programme which will focus on; mapping patterns of use to understand how users

  7. An activity-based cost analysis of the Honduras community-based, integrated child care (AIN-C) programme.

    Science.gov (United States)

    Fiedler, John L; Villalobos, Carlos A; De Mattos, Annette C

    2008-11-01

    The Honduras AIN-C programme is a preventive health and nutrition programme of the Honduras Ministry of Health (MOH) that relies on volunteers to help mothers monitor and maintain the adequate growth of young children. A quasi-experimental, design-based evaluation found that the programme achieved near-universal coverage and was effective in improving mothers' child-rearing knowledge, attitudes and practices, including feeding and appropriate care-giving and care-seeking practices for children with diarrhoea and acute respiratory illness. The programme is widely regarded as a model. This study was undertaken to provide the first comprehensive estimates of the cost of the AIN-C programme, with the goal of providing a programme and financial planning tool for Honduras. An additional comparison of study findings was also undertaken to determine the cost of the AIN-C programme's community-based services relative to a similar facility-based service. Expressed in mid-2005 US dollars, the study found that after the programme is phased-in: (1) the annual, recurrent cost per child under 2 years participating in the programme is $6.43; (2) the annual, incremental budget requirements per child under 2 years participating in the programme are $3.90; (3) the cost of an AIN-C monthly growth monitoring and counselling session per child is 11% of the cost of a traditional MOH, facility-based growth and development consultation per child; and (4) the effect of mothers substituting AIN-C monitor care for MOH facility-based care 'saves' 203 000 outpatient visits a year, with a potential cost saving of $1.66 million, the equivalent of 60% of the recurrent cost of the programme and roughly equal to the annual incremental budget requirements of the programme. Sensitivity analysis of the cost estimates is performed to provide insight, for countries considering introducing a similar programme, into how modifications of key characteristics of the programme affect its costs.

  8. Radiological protection of service and civilian personnel

    International Nuclear Information System (INIS)

    1990-01-01

    Since the United Kingdom's defence nuclear industry was founded in the late 1940s, Service and civilian personnel have been exposed to ionising radiation. During the last forty years, as knowledge about the effects of radiation exposure has grown, concern to ensure adequate protection against exposure has also increased,. As part of our continuing scrutiny of the Ministry of Defence (MoD), we have undertaken a short inquiry to examine MoD's current and future policy and practice on radiological protection. The principal work involving exposure of Service and civilian personnel to significant levels of radiation falls into two discrete areas: the nuclear weapons programme and the nuclear propulsion programme. The nuclear weapons programme involves research, the production of nuclear warheads and their deployment with Her Majesty's Forces. The nuclear propulsion programme involves research, production, operation, refitting and decommissioning of pressurised water reactors as a source of propulsion power in Royal Navy submarines. These two nuclear programmes are not the only sources of ionising radiation within MoD's responsibility: it also arises from research, non-destructive testing and medical applications, most notably conventional radiography. In this Report we have concentrated upon ionising radiation arising from the two defence nuclear programmes. (author)

  9. English Language Proficiency Tests and Academic Achievement: A Study on the Malaysian University English Test as a Predictor of Technical Programme Undergraduates Academic Achievement

    Directory of Open Access Journals (Sweden)

    Nurhazlini Rahmat

    2015-02-01

    Full Text Available In the Malaysian education system, English has always played an important role. In acknowledging its importance, Malaysian University English Test (MUET has been introduced to enable continued emphasis on this role.  MUET has been made compulsory for those who wish to pursue a first degree programme in local universities. This study aims to examine the relationship between English language proficiency test (as measured by MUET bands to predict the undergraduates academic achievement (as measured by Cumulative Grade Point Average score. It also aims to determine the recommended MUET band as an entry requirement for prospective technical programme undergraduates in Universiti Putra Malaysia (UPM. The study was carried out among 225 final year undergraduates of five different faculties in UPM, namely Faculty of Engineering, Faculty of Forestry, Faculty of Biotechnology and Biomolecular, Faculty of Food Science and Technology, and Faculty of Veterinary Medicine.  The data used were obtained by administering a brief questionnaire and were quantitatively analysed using Statistical Package for Social Science (SPSS version 19.  The study revealed that there is a medium positive correlation between English language proficiency and academic achievement where students who have scored higher bands for MUET are the ones who obtained higher CGPA in their study. Based on the findings, it is recommended that UPM and other local universities make changes towards the minimum MUET entry requirement to help prospective undergraduates excel in their academic study. Keywords: English language proficiency, academic achievement, technical programme, MUET, CGPA

  10. QUALITY IN HEALTH SERVICES MANAGEMENT

    Directory of Open Access Journals (Sweden)

    DORU CÎRNU

    2017-04-01

    Full Text Available The service sector plays an increasingly large modern market economies. By being unable to provide customers a tangible product in the hands of service providers makes the situation more difficult. Their success depends on customer satisfaction, which expect a certain benefit for the money paid, on quality, on mutual trust and many other attributes. What is very interesting is that they may differ from client to client, and there is no guarantee satisfaction to all customers, even if the service provided is the same. This shows the complex nature of services and efforts on service providers would have to be made permanent in order to attract more customers. This paper addresses the issues of continuous quality improvement of health services as an important part of the services sector. Until recently, these services in Romania although under strict control of the state, had a large number of patients who are given very little attention, which is why quality improvement acestoraa was compulsory. Opening and changing economic environment, increasing customer demands, forced hospitals that serve as a nodal point between these services and their applicants to adopt modern management methods and techniques to become competitive and to give patients the quality service expected. Modern society has always sought to provide the means to ensure good health closer to the needs of modern man. These have become more complex and more expensive and naturally requires financial resources increasingly mari.Este why, every time, all the failures alleging lack of money and resources in general. Is it true? Sometimes yes, often, no! The truth is that human and material resources are not used in an optimal way. The answer lies mainly in quality management. We will see what should be done in this regard.

  11. Targeting married women in microfinance programmes: transforming or reinforcing gender inequalities? : evidence from Ethiopia

    NARCIS (Netherlands)

    Bekele, H.

    2010-01-01

    With the expansion of microfinance programmes in the low-income countries, millions of
    poor women in these countries have been able to access microfinancial services,
    particularly microcredit and savings. The provision of microfinance services to women has
    been largely premised on

  12. The 1964 programme of help in atomic development

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1964-04-15

    A wide variety of projects for the provision of experts and equipment to 32 countries has been approved by the IAEA Board of Governors for 1964. Further work is being financed under the United Nations Expanded Programme of Technical Assistance; altogether, the services of about 100 experts in the field are called for, in addition to those who are still at work on earlier assignments. The estimated cost of the Agency's 1964 programme is $804 600, of which $459 200 is for the services of experts, and $345 400 for the provision of equipment and supplies. In addition, $513 500 is being allocated for EPTA programmes. It is becoming increasingly difficult, however, for the Agency to meet the growing number of requests and lack of finance may prevent its programme from being carried out in full. Many of these requests come from newly independent countries which have become Member States, and which seek assistance in developing national atomic energy programmes. In addition, numerous research reactors and radioisotope laboratories are being built or have recently been completed under bilateral arrangements which are normally limited to the period of construction. Most of these new centres then require some form of assistance in their programmes of research and training. Such a group could help the new centres with the technical aspects of the programme, and could also be helpful in furthering regional collaboration. There is evidently no lack of local talent and initiative in the regions where these meetings have been held. Given the lead, they should be able to organize a more fruitful utilization of research facilities, with the Agency supplementing local effort by acting as a clearing-house for information and assistance, on the lines indicated in its long-range plan. The study group meetings are also helping to create greater awareness in the advanced countries about the work and needs of the developing centres. As a result, it may be hoped that the advanced centres

  13. The 1964 programme of help in atomic development

    International Nuclear Information System (INIS)

    1964-01-01

    A wide variety of projects for the provision of experts and equipment to 32 countries has been approved by the IAEA Board of Governors for 1964. Further work is being financed under the United Nations Expanded Programme of Technical Assistance; altogether, the services of about 100 experts in the field are called for, in addition to those who are still at work on earlier assignments. The estimated cost of the Agency's 1964 programme is $804 600, of which $459 200 is for the services of experts, and $345 400 for the provision of equipment and supplies. In addition, $513 500 is being allocated for EPTA programmes. It is becoming increasingly difficult, however, for the Agency to meet the growing number of requests and lack of finance may prevent its programme from being carried out in full. Many of these requests come from newly independent countries which have become Member States, and which seek assistance in developing national atomic energy programmes. In addition, numerous research reactors and radioisotope laboratories are being built or have recently been completed under bilateral arrangements which are normally limited to the period of construction. Most of these new centres then require some form of assistance in their programmes of research and training. Such a group could help the new centres with the technical aspects of the programme, and could also be helpful in furthering regional collaboration. There is evidently no lack of local talent and initiative in the regions where these meetings have been held. Given the lead, they should be able to organize a more fruitful utilization of research facilities, with the Agency supplementing local effort by acting as a clearing-house for information and assistance, on the lines indicated in its long-range plan. The study group meetings are also helping to create greater awareness in the advanced countries about the work and needs of the developing centres. As a result, it may be hoped that the advanced centres

  14. Radiological safety programme for the health departments in Parana, Brazil

    International Nuclear Information System (INIS)

    Schmidt, M.F.S.; Tilly, J.G. Jr.

    1998-01-01

    As a result of Brazil's centralized administration in the past, various parts of the public service were somewhat inefficient. Another reason was the size of the country. To improve the situation in the health sector, it was decided to transfer administrative responsibility to the municipal authorities. Accordingly, the public health system is now defined under the appropriate legislation as the 'Unified Health System' (SUS), comprising federal, state and municipal levels. This system promotes decentralization of therapeutic or preventive services (including the Radiation Facility Health Inspectorate) and proposes any additional legislation required. In Parana the Radiation Facility Health Inspectorate has 3600 organizations listed, employing ionizing radiation in medicine, industry and research, which need to be regularly inspected for licensing and control. In 1994, 50% of the annual inspection target in the state was attained. The Radiation Safety Programme for the Health Departments in Parana directs these activities in this State. Its strategies are: (1) to establish implementation phases for activities planned for each area; (2) to take advantage of the SUS structure to introduce or expand operational services at the primary, secondary and tertiary levels with appropriate equipment. The tertiary level involves co-ordination of the Programme and complementary executive functions, as well as maintaining an information system with other related organizations. The other levels include licensing, control and emergency response. As the Programme develops, indicators will be established to help identify progress achieved and correct operating strategy where necessary. Thus, the services provided to the public will be enhanced in quality and the radiation doses reduced. In addition, in emergency situations, the time elapsing between the event and its notification to the authorities will be reduced, minimizing the consequences of any accidents. (author)

  15. Programme

    OpenAIRE

    Hobday, E, fl. 1905, artist

    2003-01-01

    A photograph of an illustrated programme listing dances. The illustration shows a snake charmer playing to a snake while another man watches. Buildings and trees can be seen behind a wall in the distance. In the lower right-hand corner of the programme is the signature 'E. Hobday'. The programme is almost certainly related to the Punjab Ball, Lahore. It is placed next to the Punjab Ball Menu in the album and the Menu is also illustrated by 'E. Hobday'.

  16. The NIM alanine-EPR dosimetry system: its application in NDAS programme and others

    International Nuclear Information System (INIS)

    Gao Jun-Cheng

    1999-01-01

    In 1983, National Institute of Metrology (NIM) began to study alanine-EPR dosimetry system. From 1988 on, the system has been used as a transfer standard to launch into the National Dose Assurance Service (NDAS) programme for cobalt-60 facilities in China. In this paper, the eleven years implementation of NDAS programme are presented by statistics. In 1991, under an IAEA coordinated research programme, NIM had studied to extend the range of the system to therapy level. In recent years, the NIM in cooperation with other institutes has been developing film-alanine dosimeter for electron beam dosimetry. (author)

  17. Staff perceptions of a Productive Community Services implementation: A qualitative interview study.

    Science.gov (United States)

    Bradley, Dominique Kim Frances; Griffin, Murray

    2015-06-01

    The Productive Series is a collection of change programmes designed by the English National Health Service (NHS) Institute for Innovation and Improvement to help frontline healthcare staff improve quality and reduce wasted time, so that this time can be reinvested into time spent with patients. The programmes have been implemented in at least 14 countries around the world. This study examines an implementation of the Productive Community Services programme that took place in a Community healthcare organisation in England from July 2010 to March 2012. To explore staff members' perceptions of a Productive Community Services implementation. Cross-sectional interview. Community Healthcare Organisation in East Anglia, England. 45 participants were recruited using purposive, snowballing and opportunistic sampling methods to represent five main types of staff group in the organisation; clinical team members, administrative team members, service managers/team leaders, senior managers and software support staff. Team members were recruited on the basis that they had submitted data for at least one Productive Community Services module. Semi-structured individual and group interviews were carried out after the programme concluded and analysed using thematic analysis. This report focuses on six of the themes identified. The analysis found that communication was not always effective, and there was a lack of awareness, knowledge and understanding of the programme. Many staff did not find the Productive Community Services work relevant, and although certain improvements were sustained, suboptimal practices crept back. Although negative outcomes were reported, such as the programme taking time away from patients initially, many benefits were described including improved stock control and work environments, and better use of the Electronic Patient Record system. One of the themes identified highlighted the positive perceptions of the programme, however a focus on five other themes

  18. Developing Infrastructure for New Nuclear Power Programmes

    International Nuclear Information System (INIS)

    2011-09-01

    Many countries are interested in introducing or expanding nuclear energy programmes because they regard nuclear power as a clean and stable source of electricity that can help to mitigate the impact of climate change. However, the March 2011 accident at the Fukushima Daiichi nuclear power plant in Japan - caused by an earthquake and tsunami of unprecedented proportions - demonstrated that there is a constant need to improve global nuclear safety, despite the great progress made in the previous 25 years. A 'safety first' approach needs to become fully entrenched among nuclear power plant operators, governments and regulators everywhere. Safety first must also be the watchword for Member States considering the introduction of nuclear power. I believe that all IAEA Member States should have access to nuclear power if they wish to add it their energy mix. While it is up to each country to decide whether or not to opt for nuclear power, the IAEA has a key role to play in ensuring that the development of nuclear power programmes takes place in a safe, efficient, responsible and sustainable manner. The IAEA has developed guidelines and milestones to help countries work in a systematic way towards the introduction of nuclear power. Use of the 'Milestones' approach can increase transparency both within a country introducing nuclear power, and between it and other States. This brochure summarizes the services which the IAEA offers to Member States considering introducing nuclear power. These include advice on proper planning, building the required human resources and infrastructure, establishing legal and regulatory frameworks, and ensuring the highest standards of safety and security, without increasing proliferation risks. The IAEA offers independent know-how on the construction, commissioning, startup and operation of nuclear reactors. Through the Technical Cooperation programme, we provide targeted support to 'newcomer' countries in response to national development needs

  19. Schools That Make a Difference to Post-Compulsory Uptake of Physical Science Subjects: Some comparative case studies in England

    Science.gov (United States)

    Bennett, Judith; Lubben, Fred; Hampden-Thompson, Gillian

    2013-03-01

    This paper presents the findings of the qualitative component of a combined methods research study that explores a range of individual and school factors that influence the uptake of chemistry and physics in post-compulsory study in England. The first phase involves using the National Pupil Database to provide a sampling frame to identify four matched pairs of high-uptake and low-uptake schools by salient school factors. Case studies of these eight schools indicate that students employ selection strategies related to their career aspirations, their sense of identity and tactics, and their prior experience. The school factors influencing subject choice relate to school management, student support and guidance, and student empowerment. The most notable differences between students in high-uptake and low-uptake schools are that students in high-uptake schools appear to make a proactive choice in relation to career aspirations, rather than a reactive choice on the basis of past experience. Schools with a high uptake offer a diverse science curriculum in the final two years of compulsory study, set higher examination entry requirements for further study and, crucially, provide a range of opportunities for students to interact with the world of work and to gain knowledge and experience of science-related careers.

  20. The UK's National Programme for IT: Why was it dismantled?

    Science.gov (United States)

    Justinia, Taghreed

    2017-02-01

    This paper discusses the UK's National Programme for IT (NPfIT), which was an ambitious programme launched in 2002 with an initial budget of some £6.2 billion. It attempted to implement a top-down digitization of healthcare in England's National Health Service (NHS). The core aim of the NPfIT was to bring the NHS' use of information technology into the 21st century, through the introduction of an integrated electronic patient record systems, and reforming the way that the NHS uses information, and hence to improve services and the quality of patient care. The initiative was not trusted by doctors and appeared to have no impact on patient safety. The project was marred by resistance due to the inappropriateness of a centralized authority making top-down decisions on behalf of local organizations. The NPfIT was officially dismantled in September 2011. Deemed the world's largest civil IT programme, its failure and ultimate demise sparked a lot of interest as to the reasons why. This paper summarises the underlying causes that lead to dismantling the NPfIT. At the forefront of those circumstances were the lack of adequate end user engagement, the absence of a phased change management approach, and underestimating the scale of the project.

  1. Screening of newborns for congenital hypothyroidism. Guidance for developing programmes

    International Nuclear Information System (INIS)

    2005-12-01

    Congenital hypothyroidism is a condition that, if left untreated, can cause lifelong human suffering as a result of severe mental retardation and deficiency of growth. With the involvement of the IAEA, screening programmes to detect congenital hypothyroidism in newborn infants have been introduced successfully in a large number of countries. The cornerstone of these programmes is accurate and reliable screening methods involving isotope techniques and simple medical treatment. The suffering - and heavy social and economic burden - caused by congenital hypothyroidism prompted many countries to institute a formalized screening programme directed at newborns, just as a vaccination programme has become an integral part of child health care. In many other countries however, this type of formalized service has not yet been established. For these countries, the implementation of a neonatal screening programme will bring about a considerable improvement in child health care. It is hoped that the guidance in this publication will be especially useful to the signatories of the United Nations Convention on the Rights of the Child. Several factors that prevail in a country - the climate, political environment, economic development, level of health care and the transportation system - have an influence on the overall operational systems, design and implementation of a screening programme. As such, the design of such a programme will differ greatly from country to country. Nevertheless, neonatal screening programmes have many elements in common. This book draws on the IAEA's experience in this area over more than a decade, and on the results of a regional technical cooperation programme on neonatal screening for congenital hypothyroidism in East Asia (IAEA Project RAS6032). This publication provides guidance aimed specifically at implementing and sustaining programmes for the screening of newborn infants

  2. Evaluating the Comparability of PPT and CBT by Implementing the Compulsory Islamic Culture Course Test in Jordan University

    Directory of Open Access Journals (Sweden)

    Abdelnaser Sanad Alakyleh

    2017-12-01

    Full Text Available Study aims to determine whether the university students' scores in the compulsory Islamic culture course test on a selected sample differ across the paper-and pencil test (PPT & computer-based test (CBT versions, and to reveal the relationship between gender and the student's level of performance in the test. Therefore, the study evaluated the comparability of two versions of a compulsory Islamic culture course test (PPTs and (CBTs. The importance of conducting the study in Jordan stems from the fact that public and private universities have begun to move away from the traditional patterns of tests such (PPTs and went towards (CBTs. In addition to detecting which model gives the best in the output and has the characteristics of the psychometric test, furthermore, indicates whether there were any differences between males and females, the study sample consisted of 120 individuals, 67 females and 53 males from scientific, health and humanities colleges. The results showed that there was no significant difference between the two versions provided to students CBT and PPT with 0.36 moderate correlation indicators in the pre-CBT test, no significant differences between the males and females in the CBT test results. Therefore, on the basis of the results of the present study, the CBT test is an option and a preferred alternative for regular students of the bachelor's level at the University of Jordan.

  3. Crispv programme

    International Nuclear Information System (INIS)

    Marinkovicj, N.

    CRISPV (Criticality and Spectrum code) is a multigroup neutron spectrum code for homogeneous reactor cores and is actually a somewhat modified version of the original CRISP programme. It is a combination of DATAPREP-II and BIGG-II programmes. It is assumed that the reactor cell is a cylindrical fuel rod in the light or heavy water moderator. DATEPREP-II CODE forms the multigroup data for homogeneous reactor and prepares the input parameters for the BIGG-II code. It has its own nuclear data library on a separate tape in binary mode. BIGG-II code is a multigroup neutron spectrum and criticality code for a homogenized medium. It has as well its own separate data library. In the CRISPV programme the overlay structure enables automatic handling of data calculated in the DATAPREP-II programme and needed in the BIGG-II core. Both programmes are written in FORTRAN for CDC 3600. Using the programme is very efficient and simple

  4. Equalization of opportunities in the tertiary level of education of students with special needs in the Czech Republic – innovation programme of services at the University of Hradec Kralove

    Directory of Open Access Journals (Sweden)

    Ruzickova Kamila

    2016-01-01

    Full Text Available The specialized text describes the standard rules of the equalization of opportunities at the tertiary level of the education of students with special needs in the Czech Republic. National standard recommendations for support services at Czech universities and colleges are presented in the first part of the article. The next part concentrates specifically on the innovative programme of services for students with special needs at the University of Hradec Kralove. The final part of the article provides the selected results of research study into the level of support services at the University of Hradec Kralove. Data were obtained from 52 respondents - kye workers for equalization of opportunities for students with special needs. A set of questionnaire was analysed using descriptive statistic. The first selected data demonstrate the status of readiness the innovated service system at the University of Hradec Kralove

  5. National programme: Finland

    International Nuclear Information System (INIS)

    Forsten, J.

    1986-01-01

    Finland's programmes in the field of reactor pressure components are presented in this paper. The following information on each of these programmes is given: the brief description of the programme; the programme's schedule and duration; the name of the project manager

  6. Helping doctors in training to STEP-UP: A leadership and quality improvement programme in the Belfast Health and Social Care Trust.

    Science.gov (United States)

    Donaghy, Grainne; McKeever, Kris; Flanagan, Catherine; O'Kane, Donal; McQuillan, Bernie; Cash, Johnny; Jack, Cathy; Lundy, Claire

    2018-05-01

    Medical engagement in healthcare organisations can improve service development and patient experience. Doctors in training have limited opportunities to engage in service improvement work and develop leadership skills. We describe the Specialist Trainees Engaged in Leadership Programme (STEP) , a programme developed to introduce concepts of medical leadership and quality improvement skills in the Belfast Trust. STEP started in 2013 and over 140 trainees have now participated in the programme. Over 42 quality improvement projects have been completed with the support of the programme. Evaluation of STEP has demonstrated an improvement across all domains explored throughout the duration of the programme, with benefits for the individual trainee and the wider organisation. We describe the programme in detail. The STEP curriculum can easily be adapted to meet the needs of NHS trainees, allowing them to understand the objectives and strategy of their employers and improve their ability to plan and deliver safe, effective, patient-centred care.

  7. International guidance on the establishment of quality assurance programmes for radioactivity measurement in nuclear medicine

    Energy Technology Data Exchange (ETDEWEB)

    Zimmerman, B.E. [Dosimetry and Medical Radiation Physics Section, Division of Human Health, International Atomic Energy Agency, Wagramer Strasse 5, P.O. Box 200, A-1400 Vienna (Austria)]. E-mail: b.zimmerman@iaea.org; Herbst, C. [Department of Medical Physics, University of the Free State, Geneeskundige Fisika G 68, Bloemfontein 9300 (South Africa); Norenberg, J.P. [College of Pharmacy, 2502 Marble, NE MSC09 5360, University of New Mexico, Albuquerque 87131 (United States); Woods, M.J. [Ionizing Radiation Consultants, Ltd., 152 Broom Road, Teddington, Middlesex TW11 9PQ (United Kingdom)

    2006-10-15

    A new guidance document for the implementation of quality assurance (QA) programmes for nuclear medicine radioactivity measurement, produced by the International Atomic Energy Agency, is described. The proposed programme is based on the principles of ISO 17025 and will enable laboratories, particularly in developing countries, to provide consistent, safe and effective radioactivity measurement services to the nuclear medicine community.

  8. International guidance on the establishment of quality assurance programmes for radioactivity measurement in nuclear medicine

    International Nuclear Information System (INIS)

    Zimmerman, B.E.; Herbst, C.; Norenberg, J.P.; Woods, M.J.

    2006-01-01

    A new guidance document for the implementation of quality assurance (QA) programmes for nuclear medicine radioactivity measurement, produced by the International Atomic Energy Agency, is described. The proposed programme is based on the principles of ISO 17025 and will enable laboratories, particularly in developing countries, to provide consistent, safe and effective radioactivity measurement services to the nuclear medicine community

  9. Can business development services practitioners learn from theories on innovation and services marketing?

    OpenAIRE

    Romijn, H.A.; Caniëls, M.C.J.; Ruijter-de Wildt, de, M.

    2003-01-01

    Business Development Services programmes for non-financial support to small enterprises in developing countries recently have become big business for development donors and NGOs. The approach revolves around the idea that so-called ‘demand-driven’ interventions are the key to successful market development. Yet, the impact of many of these programmes continues to be limited. In this paper we suggest a possibly important cause for this impact problem by examining the current best practice BDS s...

  10. Impact of a personalised active labour market programme for persons with disabilities.

    Science.gov (United States)

    Adamecz-Völgyi, Anna; Lévay, Petra Zsuzsa; Bördős, Katalin; Scharle, Ágota

    2018-02-01

    The paper estimates the impact of a supported employment programme implemented in Hungary. This is a non-experimental evaluation using a matching identification strategy supported by rich data on individual characteristics, personal employment and unemployment history and the local labour market situation. We use a time-window approach to ensure that programme participants and matched controls entered unemployment at the same point in time, and thus faced very similar labour market conditions. We find that the programme had a positive effect of 16 percentage points on the probability of finding a job among men and 25 percentage points among women. The alternative outcome indicator of not re-entering the unemployment registry shows somewhat smaller effects in the case of women. In comparison to similarly costly programmes that do not facilitate employment in the primary labour market, rehabilitation services represent a viable alternative.

  11. MANAGEMENT ACCOUNTING SYSTEM OF PUBLIC OFF-BUDGET FUNDS AS AN INFORMATIONAL BASIS FOR PUBLIC INSURANCE MECHANISMS FORMATION (CASE STUDY OF FEDERAL COMPULSORY MEDICAL INSURANCE FUND

    Directory of Open Access Journals (Sweden)

    Anatoly A. Kozlov

    2014-01-01

    Full Text Available The article justifies the introduced proposals for a management accounting of theFederal Compulsory Medical InsuranceFund formation and the characteristics and principles of management accounting forms for the analysis of the territorialcompulsory medical insurance programs.

  12. Integrating eHealth in HIV/AIDS intervention programmes in South Africa

    Directory of Open Access Journals (Sweden)

    Babasile D. Osunyomi

    2015-03-01

    Objective: The key aim of this article is to explore the status quo of the implementation of information and communication technologies (ICTs in selected intervention programmes in the South African HIV/AIDS care delivery value chain. The contribution of this article is the mapping of key intervention activities along an HIV care value chain and to suggest a roadmap towards the integration of ICTs in service delivery programmes. Method: 20 managers of HIV/AIDS intervention programmes were surveyed, followed by semi-structured in-depth interviews with these respondents. A further five in-depth interviews were conducted with experts in the ICT area for exploring the uses of and barriers to integrating ICTs in the HIV/AIDS care delivery value chain. Results: The researchers mapped the barriers to implementation and ICT tools utilised within the HIV/AIDS care delivery value chain, which proves to be a useful tool to explore the status quo of technology in such service delivery programmes. The researchers then considered the wider policy environment and provided a roadmap based on the analysis and the South Africa eHealth strategy for driving development in this sector. Conclusion: The authors found that South Africa’s eHealth environment is still nascent and that the South African eHealth strategy does not place enough emphasis on systems integration and stakeholder engagement or the planning and process of uptake of ICTs by target audiences.

  13. The Agency's Technical Co-operation programme with the United Republic of Tanzania, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $ 3.4 million of Agency support received, the United Republic of Tanzania ranks 44th among all recipients of technical assistance in the period 1958 - 1991. Almost half of the assistance during the past ten years has been provided in the form of equipment (49%), followed by training through fellowships and scientific visits (29%) and expert services (22%). Ninety-two per cent of the resources were provided by the Technical Assistance and Co-operation Fund, the rest was made available through assistance in kind (5%) and through extrabudgetary contributions (3%). With regard to project disbursement by sector, by far the largest share has gone to agriculture (48%), followed by nuclear physics (20%), nuclear safety (17%) and nuclear medicine (11%)

  14. Towards a resilient and programmable optical network with dynamic lightpath as a service

    CSIR Research Space (South Africa)

    Nkosi, Mpho C

    2016-09-01

    Full Text Available With the growing adoption of programmable networks, the protection and restoration schemes for optical networks needs to be thoroughly looked into so as to guarantee efficiency and resiliency for the new Software Defined Network (SDN) architectures...

  15. Gardening with Huntington's disease clients--creating a programme of winter activities.

    Science.gov (United States)

    Spring, Josephine Anne; Baker, Mark; Dauya, Loreane; Ewemade, Ivie; Marsh, Nicola; Patel, Prina; Scott, Adrienne; Stoy, Nicholas; Turner, Hannah; Viera, Marc; Will, Diana

    2011-01-01

    A programme of garden-related indoor activities was developed to sustain a gardening group for people with mid to late stage Huntington's disease during the winter. The activities were devised by the horticulturist, working empirically, involving the services occupational therapist, physiotherapist, occupational therapy art technician, computer room, recreation and leisure staff. The programme was strongly supported by the nursing and care staff. Feedback on the effectiveness of the activities was sought from the clients, team members and unit staff. The clients' interest in gardening was sustained by a multidisciplinary programme of indoor growing and using plant products in creative activities, computing and group projects. The clients enjoyed all activities except one that they said lacked contact with plants. The inexpensive programme of activities enabled creativity and self-expression, stimulated social contact and helped with therapeutic goals of the clients. In addition, it engaged the multi-disciplinary team and the unit staff, was practical and enhanced the environment.

  16. USER PERCEPTIONS AND EXPECTATIONS ON E-INFORMATION LITERACY DEVELOPMENT PROGRAMMES: A GAP ANALYSIS

    Directory of Open Access Journals (Sweden)

    Chaminda Chiran Jayasundara

    2008-07-01

    Full Text Available This paper discuses the user perceptions and expectations of postgraduate students of the University of Colombo towards the e-information literacy skills development programme conducted by the library. Data was collected from 21 individuals through semi-structured questionnaire using gap theory. Overall, students satisfy with the quality of the programme and found three impediments to develop the service such as staff attitude, lack of mentoring and high customer demand.

  17. Active ingredients in anti-stigma programmes in mental health.

    Science.gov (United States)

    Pinfold, Vanessa; Thornicroft, Graham; Huxley, Peter; Farmer, Paul

    2005-04-01

    This paper draws upon a review of the relevant literature and the results of the recent Mental Health Awareness in Action (MHAA) programme in England to discuss the current evidence base on the active ingredients in effective anti-stigma interventions in mental health. The MHAA Programme delivered educational interventions to 109 police officers, 78 adults from different community groups whose working lives involved supporting people with mental health problems but who had received no mental health training and 472 schools students aged 14-15. Each adult target group received two intervention sessions lasting two hours. The two school lessons were 50 minutes each. Knowledge, attitudes and behavioural intent were assessed at baseline and follow-up. In addition focus groups were held with mental health service users to explore the impact of stigma on their lives and facilitators of educational workshops were interviewed to provide expert opinion on 'what works' to reduce psychiatric stigma. Personal contact was predictive of positive changes in knowledge and attitudes for the school students but not the police officers or community adult group. The key active ingredient identified by all intervention groups and workshop facilitators were the testimonies of service users. The statements of service users (consumers) about their experience of mental health problems and of their contact with a range of services had the greatest and most lasting impact on the target audiences in terms of reducing mental health stigma.

  18. Programming Web services with Perl

    CERN Document Server

    Ray, Randy J

    2003-01-01

    Given Perl's natural fit for web applications development, it's no surprise that Perl is also a natural choice for web services development. It's the most popular web programming language, with strong implementations of both SOAP and XML-RPC, the leading ways to distribute applications using web services. But books on web services focus on writing these applications in Java or Visual Basic, leaving Perl programmers with few resources to get them started. Programming Web Services with Perl changes that, bringing Perl users all the information they need to create web services using their favori

  19. The Agency's Technical Co-operation programme with Brazil, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $17 million of Agency support received, Brazil ranks 2nd among all recipients of technical assistance during the period 1958 through 1991. Over half of the assistance received during the past ten years has been provided in the form of equipment (51%), complemented by expert services (34%) and training (15%). Almost two-thirds of the funds were made available through the Technical Assistance and Co-operation Fund (63%), the rest was provided through extrabudgetary contributions (30%), assistance in kind (4%) and UNDP (3%). With regard to total disbursements - by sector - under those projects that were operational during the period 1982 through November 1992, the three major areas have been: general atomic energy development (47%), nuclear safety (22%) and agriculture (13%). During the same period, the country has provided experts and training course lectures for a total of 405 assignments, and has hosted 178 fellowships and scientific visits as well as 46 regional and interregional training events with a total of 603 participants

  20. The Agency's Technical Co-operation programme with Peru, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $12.6 million of Agency support received, Peru ranks 4th among all recipients of technical assistance in the period 1958 - 1991, whereby it ranked as high as 2nd in each of the four years 1982 through 1985. More than half of the assistance during the past ten years has been provided in the form of equipment (59%), followed by expert services (29%) and training (12%). Forty-five per cent of the resources were provided by the Technical Assistance and Co-operation Fund, while 29% of the resources were made available through extrabudgetary contributions, and 21% by UNDP. The remaining 5% were provided in kind. With regard to project disbursement by sector, the largest areas have been agriculture (27%), general atomic energy development (17%), nuclear raw materials (14%), nuclear medicine (12%) and industry and hydrology (11%). Nuclear safety, nuclear engineering and technology, and nuclear physics and chemistry have each received less than ten per cent of the assistance provided

  1. The Agency's Technical Co-operation programme with Egypt, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $22.2 million of Agency support received, Egypt ranks first among all recipients of technical assistance, not only for the period 1958 - 1991, but also held this rank in each of the five years 1982 through 1986 and in 1988. More than half of this assistance has been provided in the form of equipment (57%), followed by expert services (19%), training (17%) and sub-contracts (7%). With 42% and 43%, respectively, the Technical Assistance and Co-operation Fund and extrabudgetary contributions hold almost equal shares in the total resources available, while in-kind assistance accounts for 9% and UNDP for 6% of the resources. With regard to project disbursement during the past ten years, by sector, the two largest areas have been nuclear safety (34%) and agriculture (33%), followed by nuclear engineering and technology (11%). Smaller shares - from 4% to 7% each-- have gone to industry and hydrology, nuclear medicine, nuclear physics and chemistry, and general atomic energy development

  2. The Agency's Technical Co-operation programme with Argentina, 1982-1992. Country programme summaries

    International Nuclear Information System (INIS)

    1992-01-01

    The country programme summary reported here is one in the series of such studies being undertaken of the Agency's TC programme with Member States. With over $7.5 million of Agency support received, Argentina ranks 22nd among all recipients of technical assistance during the period 1958 through 1991. Forty-six per cent of the assistance received during the past ten years has been provided in the form of equipment, complemented by expert services (40%) and training (14%). The largest share of the resources was made available by UNDP (87%), and only small shares were provided through the TACF (12%) and assistance in kind (less than 1%). With regard to total disbursements - by sector - under those projects that were operational during the period 1982 through mid-December 1992, by far the largest area has been nuclear engineering and technology (91%), while only very small shares went to nuclear safety (4%), industry and hydrology (3%) and agriculture (2%). During the same period, the country has provided experts and training course lectures for a total of 601 assignments, and has hosted 153 fellowships and scientific visits as well as 42 regional and interregional training courses with a total of 568 participants

  3. Exercise training characteristics in cardiac rehabilitation programmes: a cross-sectional survey of Australian practice.

    Science.gov (United States)

    Abell, Bridget; Glasziou, Paul; Briffa, Tom; Hoffmann, Tammy

    2016-01-01

    Exercise training is a core component of cardiac rehabilitation (CR), however, little information exists regarding the specific exercise interventions currently provided for coronary heart disease in Australian practice. We aimed to analyse the current status of exercise-based CR services across Australia. Cross-sectional survey. Australian sites offering exercise-based CR were identified from publically available directories. All sites were invited by email to participate in an online Survey Monkey questionnaire between October 2014 and March 2015, with reminders via email and phone follow-up. Questions investigated the demographics and format of individual programmes, as well as specific exercise training characteristics. 297 eligible programmes were identified, with an 82% response rate. Most sites (82%) were based at hospital or outpatient centres, with home (15%), community (18%) or gym-based options (5%) less common. While CR was most often offered in a comprehensive format (72% of sites), the level of exercise intervention varied greatly among programmes. Most frequently, exercise was prescribed 1-2 times per week for 60 min over 7 weeks. Almost one-quarter (24%) had a sole practitioner supervising exercise, although the majority used a nurse/physiotherapist combination. Low to moderate exercise intensities were used in 60% of programmes, however, higher intensity prescriptions were not uncommon. Few sites (technology, such as mobile phones or the internet, to deliver or support exercise training. While advances have been made towards providing flexible and accessible exercise-based CR, much of Australia's service remains within traditional models of care. A continuing focus on service improvement and evidence-based care should, therefore, be considered a core aim of those providing exercise for CR in order to improve health service delivery and optimise outcomes for patients.

  4. Sexual Health Promotion Programme: Participants' Perspectives on Capacity Building

    Science.gov (United States)

    Keogh, Brian; Daly, Louise; Sharek, Danika; De Vries, Jan; McCann, Edward; Higgins, Agnes

    2016-01-01

    Objectives: The aim of this study was to evaluate a Health Service Executive (HSE) Foundation Programme in Sexual Health Promotion (FPSHP) with a specific emphasis on capacity building. Design: A mixed-method design using both quantitative and qualitative methods was used to collect the data. Setting: The FPSHP was delivered to staff working in…

  5. Finnish support programme to IAEA safeguards. Annual report 1994

    International Nuclear Information System (INIS)

    Tarvainen, M.

    1995-05-01

    Implementation of the Finnish Support Programme to IAEA Safeguards (FINSP) during the calender year in question is summarized. FINSP is carried out trough separate tasks concentrating on verification of nuclear material, training and expert services to the IAEA. In addition to the Finnish summary, the report includes detailed description of each task in English

  6. Recruitment, soldiers and the experience of army life: compulsory military service in Peru and Colombia (1919-1933

    Directory of Open Access Journals (Sweden)

    Carlos Camacho Arango

    2018-05-01

    Full Text Available The article studies different aspects of mandatory military service in Peru and Colombia from 1919 to 1933 including recruitment; the social, “racial”, and geographical origins of soldiers; and army life in both countries. Documents from military archives in the U.S. and France, as well as writings from Peruvian and Colombian commissioned and non-commissioned officers were the main sources used. The method is comparative and it shows clear features in common, including the scarcity of resources that affected all aspects of service.

  7. The Effects of In-Service Training Seminars on the Tourism Marketing Role of Professional Tour Guides

    Directory of Open Access Journals (Sweden)

    Sezer Korkmaz

    2011-06-01

    Full Text Available This study has investigated that how the compulsory in-service training seminars have affected the attitudes composing marketing function of guides. Questionnaire has aimed to investigate that there are meaningful satisfaction level differences between or among the guides in respect to their various qualifications. Unstructured interview and participant observation methods have also been conducted. It has been seen that the satisfaction level of guides from in-service training seminars is quite low. The research findings show that there are meaningful differences between the attitudes of marketing function of guides who are not attended and attended to marketing related seminars. It has been seen that marketing related seminars have positive effects on guides’ marketing related attitudes.

  8. Addressing safety issues through a joint industry programme; Traiter des problemes de securite a travers un programme industriel commun

    Energy Technology Data Exchange (ETDEWEB)

    Pool, G.; Williams, T.P. [BG Technology (United Kingdom); Jones, A.M. [Health and Safety Executive (United Kingdom)

    2000-07-01

    In an increasingly fragmented gas market, the focus for national gas safety may not rest with one major utility or gas supplier but may be spread across many companies. There will also be many new organisations in a liberalized gas industry with varying views on the needs and benefits of safety related technology development but all agree there is a need to ensure that the good safety record of gas as a domestic fuel is maintained. The number of carbon monoxide (CO) incidents is not decreasing significantly despite an increased awareness of the problem. As a consequence, a two-year joint industry programme addressing issues related to carbon monoxide has been established, co-ordinated by BG Technology and supported by gas organisations, government agencies, manufacturers and suppliers across Europe and the World. The 2-year 2 pound million programme has been constructed as twelve separate projects addressing issues such as the reporting and analysis of domestic incidents, improved service or installation practice, CO alarm reliability and information dissemination. The paper gives results and achievements of the programme, through new techniques, standards, procedures or equipment and demonstrates how the gas industry can work together to meet common safety objectives. (authors)

  9. Take your blood pressure to heart! Screening programme 24-27 March

    CERN Multimedia

    2015-01-01

    In Switzerland, one person in four suffers from high blood pressure without knowing it. This silent killer can only be detected by carrying out regular blood pressure tests.     Following our last campaign in October 2014, 30% of participants were found to have previously undetected hypertension. This year, the nurses of the Medical Service are once again organising a blood pressure screening programme. See the flyer for more information. CERN Medical Service

  10. IAEA Catalogue of Services for Nuclear Infrastructure Development. Rev. 1, April 2014

    International Nuclear Information System (INIS)

    2014-04-01

    This IAEA Catalogue offers a wide range of services to Member States embarking on a new nuclear power programme or expanding an existing one. A new IAEA Catalogue of Services for Nuclear Infrastructure Development helps Member States to identify and request IAEA assistance for national organizations at different stages of the development or expansion of a nuclear power programme. This IAEA Catalogue of Services is presented in two tables. It is based on the IAEA Milestones Approach for nuclear power infrastructure development, documented in 'Milestones in the Development of a National Infrastructure for Nuclear Power' (IAEA Nuclear Energy Series NG-G-3.1). The two tables allow users to identify and select available IAEA services by: i) The three phases of the IAEA Milestones Approach, or ii) Organizations typically involved in the development of a nuclear power programme: the government / Nuclear Energy Programme Implementing Organization (NEPIO), the regulatory body and the owner operator of a nuclear power plant. This Catalogue includes information on the following IAEA services: i) Workshops / Training Courses; ii) Expert Missions / Advisory Services; iii) Review Missions / Peer Reviews; iv) Training tools and networks. The Catalogue lists both existing IAEA services and those being developed for the 19 issues to be addressed in developing a national nuclear infrastructure. Each existing service is linked to a relevant IAEA webpage that either describes a particular service or gives practical examples of the type of assistance that the Agency offers (e.g. workshops or missions). The owners of these webpages can be contacted for more detailed information or to request assistance. This IAEA Catalogue of Services will be updated regularly

  11. Evaluation of family-centred practices in the early intervention programmes for infants and young children in Singapore with Measure of Processes of Care for Service Providers and Measure of Beliefs about Participation in Family-Centred Service.

    Science.gov (United States)

    Tang, H N; Chong, W H; Goh, W; Chan, W P; Choo, S

    2012-01-01

    The primary purpose of this study was to report on an evaluation of the perceptions and beliefs of service providers towards family-centred practices in 11 early intervention programmes for infants and young children in Singapore. The Measure of Processes of Care for Service Providers (MPOC-SP) and Measure of Beliefs about Participation in Family-Centred Service (MBP-FCS) were administered to 213 service providers made up of teachers, therapists, psychologists and social workers providing centre-based therapy to children with special needs who were below the age of 6 years. Exploratory factor analyses were performed with both scales. Nineteen of the 27 MPOC-SP items were retained and supported the original four-factor structure model. The exploratory factor analyses on MBP-FCS provided a less satisfactory outcome. Fourteen of the 28 items were retained and these loaded onto four factors. The two factors relating to Beliefs about benefits of FCS and Beliefs about the absence of negative outcomes from FCS failed to emerge as separate factors. Further multiple regressions indicated that more direct work with families and positive self-efficacy in implementing FCS contributed significantly to explaining service providers' positive perception towards family-centred practice in service delivery. This is the first time MPOC-SP and MBP-FCS were administered to a population in an Asian context. While MBP-FCS would benefit from further development work on its construct, MPOC-SP offered important insights into service providers' perspectives about family-centred practices that would have useful implications for professional and service development. © 2011 Blackwell Publishing Ltd.

  12. Quality assurance and quality control programme in use at the individual monitoring service of ITN-DPRSN

    Energy Technology Data Exchange (ETDEWEB)

    Alves, J.G.; Novais, I.; Rangel, S.; Flores, E. [Instituto Tecnologico e Nuclear, Dept. de Proteccao Radiologica e Seguranca Nuclear Estrada Nacional, Sacavem (Portugal)

    2006-07-01

    The Individual Monitoring Service (I.M.S.) of the Departamento de Proteccao Radiologica e Seguranca Nuclear (D.P.R.S.N.) at the Instituto Tecnologico e Nuclear (I.T.N.) in Portugal operates a thermoluminescence dosimetry system to monitor approximately 3,000 workers for external radiation exposure on a monthly basis. The workers come from nearly 230 facilities in the medical, research and conventional industry fields of activity and almost 85% of the people monitored in 2005 are from medical facilities. The TLD system in use is based on two Harshaw 6600 automatic readers and on the Harshaw 8814 T.L. card and holder containing two detector elements of LiF:Mg,Ti (TLD-100) for the evaluation of Hp(10) and Hp(0.07). All the workers are monitored on a monthly basis using whole body dosemeters. The I.M.S. has implemented a Quality Assurance and Quality Control (Q.A./Q.C.) programme that covers all the aspects of monitoring, from the monitoring request of a customer to the final issue of a dose report. The main aspects of the Q.A./Q.C. programme implemented at the I.M.S. will be presented in this paper using fluxograms and schemes. Several issues will be addressed, e.g., administrative procedures, technical procedures, dealing with complaints, training of staff, etc. The relationship of the I.M.S. with external entities like the customer, the regulatory authority, the central dose registry, the calibration facility, suppliers, maintenance providers, etc. will be mentioned on the administrative procedures described as well as on the technical procedures where applicable. The main technical procedures will be presented in this paper and references will be made to a TLD Quality Control database internally developed and designed for the storage of important Q.C. parameters like the element correction coefficients, reader calibration factors, electronic quality control data generated on a daily basis, and the study of their evolution with time. (author)

  13. Quality assurance and quality control programme in use at the individual monitoring service of ITN-DPRSN

    International Nuclear Information System (INIS)

    Alves, J.G.; Novais, I.; Rangel, S.; Flores, E.

    2006-01-01

    The Individual Monitoring Service (I.M.S.) of the Departamento de Proteccao Radiologica e Seguranca Nuclear (D.P.R.S.N.) at the Instituto Tecnologico e Nuclear (I.T.N.) in Portugal operates a thermoluminescence dosimetry system to monitor approximately 3,000 workers for external radiation exposure on a monthly basis. The workers come from nearly 230 facilities in the medical, research and conventional industry fields of activity and almost 85% of the people monitored in 2005 are from medical facilities. The TLD system in use is based on two Harshaw 6600 automatic readers and on the Harshaw 8814 T.L. card and holder containing two detector elements of LiF:Mg,Ti (TLD-100) for the evaluation of Hp(10) and Hp(0.07). All the workers are monitored on a monthly basis using whole body dosemeters. The I.M.S. has implemented a Quality Assurance and Quality Control (Q.A./Q.C.) programme that covers all the aspects of monitoring, from the monitoring request of a customer to the final issue of a dose report. The main aspects of the Q.A./Q.C. programme implemented at the I.M.S. will be presented in this paper using fluxograms and schemes. Several issues will be addressed, e.g., administrative procedures, technical procedures, dealing with complaints, training of staff, etc. The relationship of the I.M.S. with external entities like the customer, the regulatory authority, the central dose registry, the calibration facility, suppliers, maintenance providers, etc. will be mentioned on the administrative procedures described as well as on the technical procedures where applicable. The main technical procedures will be presented in this paper and references will be made to a TLD Quality Control database internally developed and designed for the storage of important Q.C. parameters like the element correction coefficients, reader calibration factors, electronic quality control data generated on a daily basis, and the study of their evolution with time. (author)

  14. Evaluation of community provision of a preventive cardiovascular programme - the National Health Service Health Check in reaching the under-served groups by primary care in England: cross sectional observational study.

    Science.gov (United States)

    Woringer, Maria; Cecil, Elizabeth; Watt, Hillary; Chang, Kiara; Hamid, Fozia; Khunti, Kamlesh; Dubois, Elizabeth; Evason, Julie; Majeed, Azeem; Soljak, Michael

    2017-06-14

    Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic minorities tend to die younger due to preventable CVD associated with lifestyle. In addition, deprived, ethnic minorities and younger people are less likely to be served by CVD prevention services. This study assessed the effectiveness of community-based outreach providers in delivering England's National Health Services (NHS) Health Check programme, a CVD preventive programme to under-served groups. Between January 2008 and October 2013, community outreach providers delivered a preventive CVD programme to 50,573 individuals, in their local communities, in a single consultation without prescheduled appointments. Community outreach providers operated on evenings and weekends as well as during regular business hours in venues accessible to the general public. After exclusion criteria, we analysed and compared socio-demographic data of 43,177 Health Check attendees with the general population across 38 local authorities (LAs). We assessed variation between local authorities in terms of age, sex, deprivation and ethnicity structures using two sample t-tests and within local authority variation in terms of ethnicity and deprivation using Chi squared tests and two sample t-tests respectively. Using Index of Multiple Deprivation, the mean deprivation score of the population reached by community outreach providers was 6.01 higher (p successful in recruiting ethnic minority groups. The mean proportion of men screened was 11.39% lower (p successful in motivating the under-served groups to improve lifestyle, it may reduce health inequalities therein.

  15. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial.

    Science.gov (United States)

    Wang, Yao; Xiao, Lily Dongxia; Ullah, Shahid; He, Guo-Ping; De Bellis, Anita

    2017-02-01

    The lack of dementia education programmes for health professionals in primary care is one of the major factors contributing to the unmet demand for dementia care services. To determine the effectiveness of a nurse-led dementia education and knowledge translation programme for health professionals in primary care; participants' satisfaction with the programme; and to understand participants' perceptions of and experiences in the programme. A cluster randomized controlled trial was used as the main methodology to evaluate health professionals' knowledge, attitudes and care approach. Focus groups were used at the end of the project to understand health professionals' perceptions of and experiences in the programme. Fourteen community health service centres in a province in China participated in the study. Seven centres were randomly assigned to the intervention or control group respectively and 85 health professionals in each group completed the programme. A train-the-trainer model was used to implement a dementia education and knowledge translation programme. Outcome variables were measured at baseline, on the completion of the programme and at 3-month follow-up. A mixed effect linear regression model was applied to compare the significant differences of outcome measures over time between the two groups. Focus groups were guided by four semi-structured questions and analysed using content analysis. Findings revealed significant effects of the education and knowledge translation programme on participants' knowledge, attitudes and a person-centred care approach. Focus groups confirmed that the programme had a positive impact on dementia care practice. A dementia education and knowledge translation programme for health professionals in primary care has positive effects on their knowledge, attitudes, care approach and care practice. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. A Service Evaluation of a 1-Year Dialectical Behaviour Therapy Programme for Women with Borderline Personality Disorder in a Low Secure Unit.

    Science.gov (United States)

    Fox, Emily; Krawczyk, Kirsten; Staniford, Jessica; Dickens, Geoffrey L

    2015-11-01

    Previous studies about the effectiveness of Dialectical Behaviour Therapy for the treatment of Borderline Personality Disorder have had promising results. However, no previous studies have examined its effectiveness when delivered in low secure inpatient services for women. To evaluate clinical outcomes during and after a 1-year period of admission within a low secure unit for women offering a Dialectical Behaviour Therapy programme. A naturalistic, within subjects study of clinical data collected as part of routine practice was conducted. Participants were 18 consecutively admitted women who met the diagnostic criteria for Borderline Personality Disorder and had completed at least 1 year of treatment. Measures covered: risk behaviours; self-reported symptoms of Borderline Personality Disorder, and current mood and symptom experience; staff reports of clinical problems, needs and social functioning. Scores were compared between admission and at 6 months and 1 year. There was a statistically significant improvement on all 13 measures over the year's treatment. Most improvement was demonstrated between admission and 6 months. Engagement in1-year's treatment was associated with significant reduction in risk behaviours and both staff-rated and self-rated outcome measures. Some significant questions remain about which elements of the programme are most effective but the results are encouraging.

  17. The National Health Service Breast Screening Programme and British Association of Surgical Oncology audit of quality assurance in breast screening 1996-2001.

    Science.gov (United States)

    Sauven, P; Bishop, H; Patnick, J; Walton, J; Wheeler, E; Lawrence, G

    2003-01-01

    The National Health Service Breast Screening Programme (NHSBSP) is an example of a nationally coordinated quality assurance programme in which all the professional groups involved participate. Surgeons, radiologists and pathologists defined the clinical outcome measures against which they would subsequently be audited. The NHSBSP and the Association of Breast Surgery at BASO are jointly responsible for coordinating an annual audit of all surgical activities undertaken within the NHSBSP. The trends for key outcome measures between 1996 and 2001 are provided. The preoperative diagnosis rate (minimum standard 70 per cent or more) improved from 63 to 87 per cent. This rise was mirrored by an increase in the use of core biopsy in preference to fine-needle cytology. The proportion of patients in whom lymph node status was recorded improved from 81 to 93 per cent. There was no significant change in the number of women treated by low case-load surgeons and waiting times for surgery increased through the study interval. The BASO-NHSBSP Breast Audit has recorded major changes in clinical practice over 5 years. A key feature has been the dissemination of good practice through feedback of the results at local and national level. Copyright 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons Ltd

  18. NDA National Graduate Programme 'nucleargraduates'

    International Nuclear Information System (INIS)

    Dawson, Carl

    2010-01-01

    leading technical proficiency mixed with indications of 'high performer' potential. Professional - Throughout the programme the graduates will be working towards achieving professional qualifications though the relevant 'Institute' for their discipline, such as the IMECHE. The training and experience gained from the scheme is programmed around a syllabus of work and courses, which will be accredited retrospectively by the 'Institutes'. The two year 'initial professional development' programme whilst the graduate is with the NDA is then fitted into a further two years with stakeholders for their first 'substantive role'. Whilst there is no monetary contribution from the stakeholders there is a significant resource support from the programme stakeholders. They will provide a sophisticated matrix of support in attraction and assessment support, professional development, mentoring, training and scheme evaluation. The programme will be using cutting edge marketing, assessment, recruitment and training tools. It will also deliver a pioneering socio economic programme that will combine professional training with cultural and behavioural insight work. The aims of the programme are aligned with the NDA succession plan and Skills Strategy Document. The graduate profile by the end of the two year programme is 'mobile, professional, aware and ambitious.' The Programme is driven by a group comprising of companies across the industry including the NDA, SLC's, defence operators, operational power station organisations, regulators and the supply chain. Uniquely, the programme offers no 'specific job' with the NDA after the two year programme is completed. The programme will be integrated into the existing partners' schemes to ensure smooth progression. The Graduate's progress after 2 years will be facilitated by a careers service and formal rules governing the behaviour of partners. The first cohort targeted graduates from the following disciplines areas: Civil and Mechanical Engineering

  19. "A Place Where Open Minds Meet": The Constraints of Alignment and the Effects of Compulsory Teacher Training on Teaching and Learning in Higher Education

    Science.gov (United States)

    Mihailova, Paulina

    2014-01-01

    The article investigates how university lecturers taking part in the compulsory teacher training at Stockholm University (SU) conceive of the effects of standardised and formalised training on their teaching. The study explores the emotions and responses evoked among academics when everyone is required to embrace the same pedagogic philosophy of…

  20. De-Radicalising Prisoners in Nigeria: developing a basic prison based de-radicalisation programme

    Directory of Open Access Journals (Sweden)

    Atta Barkindo

    2016-06-01

    Full Text Available The Nigerian Counter Terrorism Strategy recognised that force alone was not enough to combat violent extremist elements in Nigeria and that a multi-faceted approach was required to counter the threat of violent extremism. The Office of the National Security Advisor (ONSA was tasked with developing an ambitious countering violent extremism (CVE programme consisting of three elements: community-based counter radicalisation; strategic communications; and de-radicalisation. The de-radicalisation element of the CVE programme included establishing a prison based de-radicalisation programme for sentenced and pre-trial prisoners. The challenge facing ONSA and the Nigerian Prisons Service (NPS in setting up the de-radicalisation programme was considerable. Prison conditions were basic; there were no existing offending behaviour programmes on which to build; risk assessment was rudimentary and focussed on escape risk; awareness among staff at all levels of de-radicalisation programmes, their content and how they should be managed, was minimal; specialist staff were in short supply and had no training in running interventions; and resources, both physical and financial, were limited. This paper sets out how ONSA and NPS went about establishing the de-radicalisation programme and describes key elements of that programme, including: creating a supportive operating environment; risk and needs assessment; types of intervention; and programme management and staffing. It highlights the challenges and lessons that can be drawn from the operation of the programme during its first 18 months, which will be of particular interest to low resource, post-conflict and fragile states that are seeking to establish their own basic de-radicalisation programmes.